Double gallbladder – a rare congenital variation

Česká verzia

Authors: J. Fichtl ¹; V. Třeška ¹; J. Vodička ¹; R. Tupý ²
Authors place of work: Chirurgická klinika Lékařské fakulty v Plzni, Univerzity Karlovy v Praze, přednosta: Prof. V. Třeška ¹; Klinika zobrazovacích metod Lékařské fakulty v Plzni, Univerzity Karlovy v Praze přednosta: Doc. B. Kreuzberg ²
Published in the journal: Rozhl. Chir., 2013, roč. 92, č. 4, s. 209-211.
Category: Case Report

Práce je věnována významnému životnímu jubileu prof. MUDr. Jiřího Valenty, DrSc.

Práce podpořena Výzkumným projektem P 36 Univerzity Karlovy, výzkumným projektem FN NS 9632201.

Summary

Double gallbladder, a congenital anatomic variation, represents approximately 2% of all congenital anatomic variations of the gastrointestinal tract, its incidence amounting to about 25 in 100 000. It has several types classified according to Boyden’s criteria. The diagnostic method of first choice is ultrasonography. When the patient has no health complaints and cholecystolithiasis is present, no special treatment measures are required. The treatment option in symptomatic cholecystolithiasis is laparoscopic cholecystectomy. Only a few cases of double or triple gallbladder, in contrast to the high number of cholecystectomies, have been published in literature. The authors present a case of double gallbladder where the diagnosis was established more than three years after laparoscopic cholecystectomy.

Key words:
double gallbladder – diagnosis – therapy

Zdroje

1. Puneet, Tiwary SK, Agarwal S, Singh S, Khanna AK. The Internet Journal of Gastroenterology: Double Gallbladder [on line]. vol. 4, 2006. Dostupný na www: http://www.ispub.com/journal/the-internet-journal-of-gastroenterology/volume-4-number-2/double-gallbladder.html#sthash. 7TDBBACd.dpbs

2. Singh G, Bhandari RK, Saini DS. Double Gallbladder and accessory hepatic duct – a case report. Indian Radiology Imaging 2002;12:231–2.

3. Čihák R. Anatomie 1. Praha, Grada, 2001.

4. Platzer W. Atlas topografické anatomie. Praha, Grada 1996.

5. Boyden EA. The accessory gall-bladder — an embryological and comparative study of aberrant biliary vesicles occurring in man and the domestic mammals. American Journal of Anatomy 1926;38:177–231.

6. Gross RE. Congenital anomalies of the gallbladder. A review of 148 cases, with report of a double gallbladder. Archives of Surgery 1969;12:131–162.

7. Anson BJ, McVay CB. Surgical anatomy 6th Edition. Philadelphia, W.B. Saunders Company 1984.

8. Bergman RA. Illustrated Encyclopedia of Human anatomic variation, Opus IV. Gallbladder variations [on line]. 1994-2012. Dostupný na www: http://www.anatomyatlases.org/AnatomicVariants/OrganSystem/Images/18.shtml

9. Fischer JE, Bland KI, Callery MP, et al. Mastery of Surgery 5th Edition. Philadelphia, Lippincott Williams &Wilkins 2007.

10. Koeckerling F, Schwartz SI. Liver Surgery: Operative Techniques and Avoidance of Complicatons. Tubingen, Thieme Medical Pub 2001.

11. Palanivelu C. Art of Laparoscopic Surgery Textbook and Atlas. New Delhi, Jaypee Brothers Medical Publishers 2007.