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Single Incision Laparoscopic Cholecystectomy for Gallbladder Duplication.

Kabul Gürbulak E, Özşahin H, Düzköylü Y, Akgün IE, Battal M, Gürbulak B - Case Rep Surg (2015)

Bottom Line: Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals.While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet.We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Şişli, 34371 Istanbul, Turkey.

ABSTRACT
Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals. Unless properly diagnosed preoperatively, it can lead to biliary tract injuries and postoperative complications which may require reoperative surgeries. While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet. We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

No MeSH data available.


Related in: MedlinePlus

MRCP image showing the single cystic duct, draining to a common hepatic duct.
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Related In: Results  -  Collection


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fig2: MRCP image showing the single cystic duct, draining to a common hepatic duct.

Mentions: A 58-year-old Caucasian female was admitted to our general surgery department, with complaints of dyspepsia and intermittent epigastric pain. Except for right upper quadrant pain and tenderness that was present on palpation, all other physical examination findings were normal. Laboratory results including liver function tests were found to be within normal limits. Upper abdominal ultrasound imaging revealed 2 separate gallbladders lying side by side (Figure 1). In one of the gallbladders, dense bile micelle and a few calculi were seen. The relationship between the gallbladders and the cystic duct was nonconclusive on ultrasound imaging. Magnetic resonance imaging cholangiopancreatography (MRCP) imaging was performed to better clarify the anatomical relationship. On MRCP imaging two separate gallbladders that were independent of each other in parts of the fundus and corpus-body were demonstrated. There was adherence to one another in the neck, draining to a common bile duct through a single cystic duct (Figure 2). The common bile duct, hepatic duct, and intrahepatic bile ducts were found to be in normal calibre and anatomic structure. In order to accurately determine the anatomy of the whole biliary system, cholecystectomy was planned for treatment. A single incision laparoscopic cholecystectomy procedure was performed per surgeon's preference.


Single Incision Laparoscopic Cholecystectomy for Gallbladder Duplication.

Kabul Gürbulak E, Özşahin H, Düzköylü Y, Akgün IE, Battal M, Gürbulak B - Case Rep Surg (2015)

MRCP image showing the single cystic duct, draining to a common hepatic duct.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4525758&req=5

fig2: MRCP image showing the single cystic duct, draining to a common hepatic duct.
Mentions: A 58-year-old Caucasian female was admitted to our general surgery department, with complaints of dyspepsia and intermittent epigastric pain. Except for right upper quadrant pain and tenderness that was present on palpation, all other physical examination findings were normal. Laboratory results including liver function tests were found to be within normal limits. Upper abdominal ultrasound imaging revealed 2 separate gallbladders lying side by side (Figure 1). In one of the gallbladders, dense bile micelle and a few calculi were seen. The relationship between the gallbladders and the cystic duct was nonconclusive on ultrasound imaging. Magnetic resonance imaging cholangiopancreatography (MRCP) imaging was performed to better clarify the anatomical relationship. On MRCP imaging two separate gallbladders that were independent of each other in parts of the fundus and corpus-body were demonstrated. There was adherence to one another in the neck, draining to a common bile duct through a single cystic duct (Figure 2). The common bile duct, hepatic duct, and intrahepatic bile ducts were found to be in normal calibre and anatomic structure. In order to accurately determine the anatomy of the whole biliary system, cholecystectomy was planned for treatment. A single incision laparoscopic cholecystectomy procedure was performed per surgeon's preference.

Bottom Line: Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals.While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet.We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Şişli Hamidiye Etfal Training and Research Hospital, Şişli, 34371 Istanbul, Turkey.

ABSTRACT
Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1-3 per 3800 individuals. Unless properly diagnosed preoperatively, it can lead to biliary tract injuries and postoperative complications which may require reoperative surgeries. While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet. We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.

No MeSH data available.


Related in: MedlinePlus