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KMID : 0191120170320030552
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Journal of Korean Medical Science
2017 Volume.32 No. 3 p.552 ~ p.555
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Unsuspected Duplicated Gallbladder in a Patient Presenting with Acute Cholecystitis
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Lee Woo-Hyung
Song Dae-Hyun
Lee Jin-Kwon
Park Ji-Ho
Kim Ju-Yeon
Kwag Seung-Jin
Park Tae-Jin
Jeong Sang-Ho
Ju Young-Tae
Jung Eun-Jung
Lee Young-Joon
Hong Soon-Chan
Choi Sang-Kyung
Jeong Chi-Young
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Abstract
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Duplicated gallbladder (GB) is a rare congenital disease. Surgical management of a duplicated GB needs special care because of concurrent bile duct anomalies and the risk of injuring adjacent arteries during surgery. An 80-year-old man visited an emergency room with right upper quadrant abdominal pain. Computed tomography (CT) revealed cholecystitis with a 2-bodied GB. Because of this unusual finding, magnetic resonance choledochopancreatography was performed to detect possible biliary anomalies. The 2 GB bodies were unified at the neck with a common cystic duct, a so-called V-shaped duplicated GB. The patient's right posterior hepatic duct joined the common bile duct (CBD) near the cystic duct. The patient underwent laparoscopic cholecystectomy without adjacent organ injury, and was discharged uneventfully. Surgeons should carefully evaluate the patient preoperatively and select adequate surgical procedures in patients with suspected duplicated GB because of the risk of concurrent biliary anomalies.
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KEYWORD
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Duplicated Gallbladder, Cholecystitis, Cholecystectomy, Laparoscopy
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