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Duplicated gallbladder with double cystic duct: hidden in plain sight
Duplicated gallbladder with double cystic duct is a rare anomaly, with 62 cases reported including this case. We present a 76-year-old man who underwent interval laparoscopic cholecystectomy after previous conservative management of acute cholecystitis. Retrograde dissection of gallbladder was perfo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803413/ https://www.ncbi.nlm.nih.gov/pubmed/35111294 http://dx.doi.org/10.1093/jscr/rjab633 |
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author | Poh, Wei S Menon, Tulsi Wijesuriya, Ruwan Misur, Philip |
author_facet | Poh, Wei S Menon, Tulsi Wijesuriya, Ruwan Misur, Philip |
author_sort | Poh, Wei S |
collection | PubMed |
description | Duplicated gallbladder with double cystic duct is a rare anomaly, with 62 cases reported including this case. We present a 76-year-old man who underwent interval laparoscopic cholecystectomy after previous conservative management of acute cholecystitis. Retrograde dissection of gallbladder was performed due to difficult access. Gallbladder was opened at Hartman’s pouch which revealed two bile-flowing structures. Cholangiogram was only successful via one of the ducts with no evidence of leak. Subtotal cholecystectomy was performed after consultation with a Hepatobiliary surgeon. Preoperative computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) were reviewed which revealed duplicated gallbladder. CT cholangiogram was performed post-operatively, confirming two separate cystic ducts. Our case emphasizes that anatomical anomalies can still be unappreciated despite having high-resolution CT and MRCP preoperatively, which poses increased risk of biliary tree injury. Routine intraoperative cholangiogram will help avoid bile duct injuries. Literature advises that both gallbladders should be removed to avoid relapse of gallbladder disease. |
format | Online Article Text |
id | pubmed-8803413 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88034132022-02-01 Duplicated gallbladder with double cystic duct: hidden in plain sight Poh, Wei S Menon, Tulsi Wijesuriya, Ruwan Misur, Philip J Surg Case Rep Case Report Duplicated gallbladder with double cystic duct is a rare anomaly, with 62 cases reported including this case. We present a 76-year-old man who underwent interval laparoscopic cholecystectomy after previous conservative management of acute cholecystitis. Retrograde dissection of gallbladder was performed due to difficult access. Gallbladder was opened at Hartman’s pouch which revealed two bile-flowing structures. Cholangiogram was only successful via one of the ducts with no evidence of leak. Subtotal cholecystectomy was performed after consultation with a Hepatobiliary surgeon. Preoperative computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) were reviewed which revealed duplicated gallbladder. CT cholangiogram was performed post-operatively, confirming two separate cystic ducts. Our case emphasizes that anatomical anomalies can still be unappreciated despite having high-resolution CT and MRCP preoperatively, which poses increased risk of biliary tree injury. Routine intraoperative cholangiogram will help avoid bile duct injuries. Literature advises that both gallbladders should be removed to avoid relapse of gallbladder disease. Oxford University Press 2022-01-31 /pmc/articles/PMC8803413/ /pubmed/35111294 http://dx.doi.org/10.1093/jscr/rjab633 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Poh, Wei S Menon, Tulsi Wijesuriya, Ruwan Misur, Philip Duplicated gallbladder with double cystic duct: hidden in plain sight |
title | Duplicated gallbladder with double cystic duct: hidden in plain sight |
title_full | Duplicated gallbladder with double cystic duct: hidden in plain sight |
title_fullStr | Duplicated gallbladder with double cystic duct: hidden in plain sight |
title_full_unstemmed | Duplicated gallbladder with double cystic duct: hidden in plain sight |
title_short | Duplicated gallbladder with double cystic duct: hidden in plain sight |
title_sort | duplicated gallbladder with double cystic duct: hidden in plain sight |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803413/ https://www.ncbi.nlm.nih.gov/pubmed/35111294 http://dx.doi.org/10.1093/jscr/rjab633 |
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