Duplication of the Gallbladder; A Case Report

Fatemeh pouladkhay: MSC of surgical technology, Department of OperatingRoom, Faculty of paramedicine, Gonabad university of medical sciences, Gonabad, Iran.Fatemeh Zahra Bagheri: MSC of surgical technology, Shahid Sayadshirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.Nuruddin Mortazavi: Assistant Professor, Department of General Surgery, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, IranMohammadreza Hashempour: Assistant Professor, Department of General Surgery, Army University of Medical Sciences, Tehran, IranIntroduction: gallbladder duplication is a rare congenital anomaly, appearing around one in ۳۸۰۰-۴۰۰۰ births. the reported cases only describe individuals who have the disease symptoms or who came across them during surgery, imaging studies, or autopsies as incidental findings. Thus, the exact incidence of this anomaly in the general population cannot be accurately evaluated. Gallbladder duplication is not accompanied by specific symptoms. Gallbladder duplication is not accompanied by specific symptoms , nevertheless it is usually associated with cholelithiasis, which may be because of improper biliary drainage. Gallstones are more likely to appear in one lobe. however both lobes can be involved. The role of preoperative and intraoperative imaging is influential for better anatomy and minimization of possible damage. MRCP (Magnetic resonance cholangiopancreatography ) is a standard non-invasive imaging technique for the assessment of patients with suspected biliary tract abnormalities. Cholecystectomy is the selected treatment for such patients. Aim:The aim of the present study is to describe the patient who was confirmed to have gallbladder proliferation after diagnostic measurements.Patient introduction A ۵۲-year-old man is described, who was referred to the hospital complaining of pain. Initial laboratory data including AST(Aspartate Aminotransferase), Amylase, Bill.T (Bilirubin Total ) and Bill.D (Bilirubin Direct) were normal. In addition, serum creatinine level was ۱.۵ mg/dL. Ultrasonography indicated the presence of Boyden’s Type II gallbladder duplication with stones in the left gallbladder and cholecystitis in both gallbladders. The patient underwent cholecystectomy. In the pathology report, chronic inflammation of the gallbladder was reported. Furthermore, the presence of a second gallbladder was confirmed.Discussion and conclusion:Gallbladder duplication is a spesial abnormality that is not normally diagnosed until the individual shows inflammation or gallstones symptoms. However it can be detected by creating biliary problems and using diagnostic tests. Furthermore one or both gallbladders can be removed by using different surgical methods based on the needs.

کلیدواژه ها:

Gallbladder duplication ، Gallbladder ، Anomaly ، Cholecystectomy