Bilobed gallbladder is an extremely rare congenital anomaly in man, about 13 cases have been previously confirmed at operation or postmortem. In this anomaly, the gallbladder has two cavities which drain by
a single cystic duct into the common bile duct. The cavity may be divided by a septum or there may be two cavities with a common neck.
A 35-year-old´ man with congen´tal bilobed gallbladder was presented. He was admitted to the Chonnam University Medical School Hospital becuse of epigastric pain for 15 days and jaundice for 4 days.
On examination, he appeared acutly ill Yellowish discoloration of skin and icteric sclarae were noted. Tender liver was palpable about two-finger-breath below the right costal margin.
The hemoglobin was 10.3gm/dl. WBC 11,100/ mm3, SGOT 49 units, alkaline phos hates 3.4 units, total bilirnbiu 22.5 mg/dl (direct bil rubin 18mg/dl), serum protein 5.5gm/dl (albumi 2.5gm/dl and globulin 3.0gm/dl); cholesterol 2.0 mg/dl (ester 189.8mg/dl) and urine showed bile -y}).
Percutaneous transhepatic cholangiogram revealed crenated intrahepatic gallbladder and another extrahepatic gallbladder and marked dilat tion of common bile duct and obstruction with smoot round indentation of distal common bile duct.
On the second hospital day, chole, ystectomy and choledocholithotomy and T-tube; drainage were done.
We confirmed congenital bilobed gall bladder by operation.
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