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Case Report
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| Double gallbladder masquerading as a choledochal cyst: A case report | ||||||
| Manash Ranjan Sahoo1, Anil Kumar T2 | ||||||
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1MS, Associate Professor, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
2Post Graduate, Department of Surgery, S.C.B. Medical College, Cuttack, Odisha, India. | ||||||
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| How to cite this article: |
| Sahoo MR, Kumar TA. Double gallbladder masquerading as a choledochal cyst: A case report. International Journal of Case Reports and Images 2013;4(5):283–286. |
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Abstract
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Introduction:
Double gallbladder (GB) is a very rare congenital anomaly of the billiary apparatus. It must be diagnosed preoperatively or the second GB may be missed during surgery.
Case Report: An 18-year-old male presented with pain in epigastric region for four months with nausea and vomiting. General physical examination revealed no abnormality. Ultrasonography and magnetic resonance cholangiopancreaticography (MRCP) revealed multiple small calculi in the gallbladder and presence of a cystic diverticulum near porta hepatis with multiple intra cystic stones with normal common bile duct (CBD). With a provisional diagnosis of choledochal cyst abdomen was opened through extended right subcostal incision. GB was carefully dissected from GB fossa. After separation of GB another bulging was visible in the GB fossa. With carefull dissection, it was found to be another GB filled with multiple stones with separate cystic duct and artery which were carefully ligated and cholecystectomy of both the GBs was done. After ensuring proper hemostasis, the abdomen was closed en mass. Postoperative period was uneventful and the patient was discharged home on 7th postoperative day. Conclusion: Double gallbladder which is a rare congenital anamoly of gall bladder may mimick choledochal cyst on investigations MRCP. Surgeons should differentiate between the two and remove both the gall bladder either by open or laparoscopic method depending on the expertise. | |
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Keywords:
Double gallbladder, Duplicate gallbladder, Choledochal cyst
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Author Contributions
Manash Ranjan Sahoo – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Anil Kumar T – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Manash Ranjan Sahoo et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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