Double Gall Bladder, With Double Cystic Duct

Abstract

The patient, a male of 35, with rather indefinite gastro-intestinal symptoms, was referred for complete roentgen examination. The gall-bladder dye was first administered orally, giving us the films shown in Figures 1, 2, and 3, taken at intervals of 13, 16, and 19 hours, respectively. The film shown in Figure 3 was taken after the so-called fat meal. As a matter of interest, the dye was again given after a few days, this time intravenously, with the resultant change in position of the gall bladders, as seen in the films reproduced in Figures 4 and 5. There was no dye left this time after the fat meal. There is hardly any doubt but that we have here two gall bladders, which we consider normal ones, with two long independent cystic ducts. In Figures 1 and 2, the organs seem to swing in line with one another, while in Figures 4 and 5 the uppermost gall bladder appears to swing outward and the lower one to fold upward. A continuation of the examination has shown that the patient has a duodenal ulcer, for which he is being treated medically. Dr. Sherwood Moore was kind enough to review the films and diagnosis in this case.