Intraoperative Diagnosis and Management of Duplicated Gallbladder: A Case Report

Abstract

Laparoscopic cholecystectomy (LC) is the most common elective laparoscopic procedure performed globally and is the gold standard treatment for gallstone disease. A double gallbladder (GB), with or without duplication of cystic duct is a very rare surgical encounter, with an incidence of approximately 1 in 4000–5000 population.Symptomatic conditions of duplicated gallbladder are usually associated with cholecystitis, cholangitis, gallstone disease, and pancreatitis but are rarely diagnosed with carcinoma. Surgery is the ideal treatment choice of symptomatic duplicated gallbladder.Duplication of the GB is rarely detected preoperatively, can lead to difficulties during surgery with increased likelihood of conversion to open surgery and complications. Our patients is a 45-year-old woman admittedas case of symptomatic cholelithiasis. Patient was admitted to the hospital for laparoscopic Cholecystectomy. Preoperative investigations showed that the patient had only Gallstones. Intraoperatively, patient was found to have double gallbladder with double cystic duct.Subsequently,we successfully performed laparoscopic Cholecystectomy after carful identification and dissection of all these critical structures. The patient's recovery was uneventful, and she was discharged on day one post op.All surgeons should be aware of this rare congenital abnormality of the gallbladder, in addition, thorough knowledge of the anatomical variations of the gallbladder and cystic duct greatly aids the surgeon in anticipating duplications, managing it accordingly and avoiding any complications.