1. A duplicated Gallbladder in a Patient Presenting with Acute Cholangitis. A Case Study and a Literature Review
- Author
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Elissaios Kontis, Georgios P. Fragulidis, Eirini Pantiora, Dimitrios Giannoulopoulos, Andreas Polydorou, Antonios Vezakis, and Sofia Fontara
- Subjects
Laparoscopic surgery ,medicine.medical_specialty ,Cholangiopancreatography, Magnetic Resonance ,Cholangitis ,medicine.medical_treatment ,Gallbladder disease ,Specialties of internal medicine ,Gallbladder Diseases ,Diagnosis, Differential ,03 medical and health sciences ,Cystic lesion ,0302 clinical medicine ,Imaging, Three-Dimensional ,medicine ,Humans ,Laparoscopic cholecystectomy ,Congenital malformations ,Cholangiopancreatography, Endoscopic Retrograde ,Common bile duct ,Hepatology ,Accessory gallbladder ,business.industry ,General surgery ,Gallbladder ,Gallbladder duplication ,General Medicine ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,RC581-951 ,Cholecystectomy, Laparoscopic ,030220 oncology & carcinogenesis ,Acute Disease ,030211 gastroenterology & hepatology ,Female ,business - Abstract
Gallbladder duplication can present a clinical challenge primarily due to difficulties with diagnosis and identification. Recognition of this anomaly and its various types is important since it can complicate a gallbladder disease or a simple hepatobiliary surgical procedure. The case report of a 63-year-old woman who presented with cholangitis and underwent a successful laparoscopic management of symptomatic gallbladder duplication is described, emphasizing several important considerations. Using ERCP, MRCP and 3D reconstructions the two cystic ducts with one common bile duct were identified. A review of the literature in referral of this variant, its anatomical classifications and significance to clinical and surgical practice is included. In conclusion, gallbladder anomalies should be anticipated in the presence of a cystic lesion reported around the gallbladder when evaluating radiologic studies. In case of surgery, preoperative diagnosis is essential to prevent possible biliary injuries or reoperation if accessory gallbladder has been overlooked during initial surgery. Laparoscopic cholecystectomy remains feasible for intervention can be safely done and awareness is necessary to avoid complications or multiple procedures.
- Published
- 2018