Case Of Double Gallbladder Research Articles

A rare case of double gall bladder: a case report and review of literature

Double gall bladder is a rare congenital anomaly of the Hepatobiliary system with an incidence of 1:4000 due to abnormalities resulting during the embryogenesis during fourth to sixth week of gestation. Boyden was first to describe the duplication of the gallbladder and Harlaftis classification describes three types for the duplication of the gallbladder. Preoperative diagnosis of the duplication of the gallbladder has to be confirmed to minimise the complications during the surgery and post operatively. Sometimes the duplication of the gallbladder is missed preoperatively and hence increasing the risk and complications during the cholecystectomy. MRCP is the investigation of choice for preoperative diagnosis of the duplication and the laparoscopic cholecystectomy being the treatment of choice for the double gallbladder. We encountered a 25 year old girl with duplicate gallbladder who underwent laparoscopic cholecystectomy with removal of both gallbladders successfully.

A case of double gallbladder with extraordinary pancreaticobiliary system

A case of double gallbladder with extraordinary pancreaticobiliary system

Missed Preoperative Diagnosis of a Double Gallbladder with Cholelithiasis in the Era of Advanced Imaging: A Rare Case Report

Introduction: Double gallbladder is one of the rare congenital anomaly of the gallbladder and a surgeon may come across it once in life time. Case Presentation: We present a case of double gall bladder separated by a common wall. This case was neither diagnosed nor suspected by radiologist on routine ultrasound. The patient was reported as a usual case of cholelithiasis and an inoperative surprising rare surgical anomaly of gall bladder was observed. Conclusion: This congenital anomaly can present as a surprise on the operating table and may pose a difficult cholecystectomy.

Double Gall Bladder—A Rare Entity

Cholecystectomy is the most commonly performed operation in surgery. Variations inanatomical disposition are not infrequent. However variations in number of cystic ductand gall bladder is quiet rare. This poses a diagnostic and management problem withcomplications during surgery and missed gall bladder being reported in world literature. We here by report a case of double gall bladder with double cystic duct that was managed by laparoscopic surgery.

A case of double gallbladder with separated orifices of common bile duct and main pancreatic duct, complicated with cholelithiasis

症例は77歳男性。右季肋部痛，発熱を主訴に当科を受診した。諸検査結果より総胆管結石，急性胆管炎が疑われた。ERCPでは膵胆管分離開口を呈し，ERCでは総胆管内に結石と思われる透亮像を認めた。抗血小板薬内服のため，EPBDにて切石後，ENBDを留置した。ENBD造影では，胆囊および胆囊管が独立して2つ認められ，重複胆囊と診断した。総胆管結石，胆囊結石を合併し，膵胆管分離開口が併存した重複胆囊を経験したので報告する。

重複胆嚢の１例

症例は67歳の女性. 突然右季肋部痛が出現し, 腹部超音波にて胆石症と診断された. 入院の上, endoscopic retrograde cholangiopancreatography (以下, ERCPと略記) を施行した結果, GROSS分類H型の重複胆嚢と診断し主胆嚢に対し腹腔鏡下胆嚢摘出術を施行した. 術後経過は良好で術後6日目に退院した. 残存胆嚢の評価目的で術後1年, 7年目にそれぞれdrip infused cholangiography (DIC), magnetic resonance cholangiopancreatography (MRCP) を施行したところ, 残存胆嚢には明らかな変化は認められなかった.重複胆嚢はまれな疾患であり, 本邦では自験例を含め65例の報告 (剖検例を除く) があるが両側の胆嚢に胆石症を合併しやすいと報告されている.しかし, 自験例において胆石は主胆嚢にのみ存在していたため主胆嚢のみ腹腔鏡下胆嚢摘出術を施行した. その後, 副胆嚢の経過を7年間追跡したが変化は認められなかった. まれに副胆嚢癌の症例も報告されており, 残存胆嚢についての確実な追跡調査が必要である.

術前診断した重複胆嚢の１例

術前診断した重複胆嚢の１例

重複胆嚢の１例

重複胆嚢の１例

肝Ｅｃｈｉｎｏｃｏｃｃｏｓｉｓの自然治癒例にみられた重複胆嚢の１例

肝Ｅｃｈｉｎｏｃｏｃｃｏｓｉｓの自然治癒例にみられた重複胆嚢の１例

副胆嚢が孤立性後腹膜嚢胞として発見された重複胆嚢の１症例について

副胆嚢が孤立性後腹膜嚢胞として発見された重複胆嚢の１症例について

A Case of Double Gallbladder as an Incidental Secondary Finding in Urology

A Case of Double Gallbladder as an Incidental Secondary Finding in Urology

Double gall bladder; diagnosed by cholecystography and confirmed at operation.

ductular type is described. and confirmed at operation. A case of double gall bladder of the The diagnosis was made by radiography