Laparoscopic cholecystectomy in double gallbladder with dual pathology
Double gallbladder is a rare embryological anomaly of clinical significance. Despite availability of modern imaging, only 50% of recently reported cases had preoperative diagnosis, which is desirable in every case to avoid serious operative complications. Double pathology in double gallbladder is ex...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=93;epage=96;aulast=Ghosh |
| _version_ | 1818234441567305728 |
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| author | Sumanta Kumar Ghosh |
| author_facet | Sumanta Kumar Ghosh |
| author_sort | Sumanta Kumar Ghosh |
| collection | DOAJ |
| description | Double gallbladder is a rare embryological anomaly of clinical significance. Despite availability of modern imaging, only 50% of recently reported cases had preoperative diagnosis, which is desirable in every case to avoid serious operative complications. Double pathology in double gallbladder is extremely rare with only 3 reporting′s available till date to the best of author′s knowledge. With a preoperative diagnosis of double gallbladder, laparoscopic cholecystectomy can be safely and successfully performed with meticulous dissection, aided by operative cholangiogram. However in all such attempts a lower threshold should be kept for conversion to open surgery. Awareness about this anomaly amongst radiologists and surgeons is of crucial importance. Double gallbladder does not present with any specific symptom, neither it increases disease possibility in either lobe. Prophylactic cholecystectomy has no role in asymptomatic cases diagnosed accidentally. Author reports a case of a symptomatic young male with double gallbladder who presented with short history of dyspepsia, abdominal pain and fever. Definite preoperative diagnosis was reached with ultrasound scan and magnetic resonance cholangio pancreatography and subsequently dealt with laparoscopically. Calculous cholecystitis affected one lobe and acalculous empyema the other. While the 1st lobe drained though a cystic duct into common bile duct (CBD), the 2nd was without any communication with either CBD or its counterpart, thus remained as a blind vesicle. |
| first_indexed | 2024-12-12T11:38:08Z |
| format | Article |
| id | doaj.art-9735287cbfd04fc9872b0ad8f631437b |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-12T11:38:08Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-9735287cbfd04fc9872b0ad8f631437b2022-12-22T00:25:36ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212014-01-01102939610.4103/0972-9941.129963Laparoscopic cholecystectomy in double gallbladder with dual pathologySumanta Kumar GhoshDouble gallbladder is a rare embryological anomaly of clinical significance. Despite availability of modern imaging, only 50% of recently reported cases had preoperative diagnosis, which is desirable in every case to avoid serious operative complications. Double pathology in double gallbladder is extremely rare with only 3 reporting′s available till date to the best of author′s knowledge. With a preoperative diagnosis of double gallbladder, laparoscopic cholecystectomy can be safely and successfully performed with meticulous dissection, aided by operative cholangiogram. However in all such attempts a lower threshold should be kept for conversion to open surgery. Awareness about this anomaly amongst radiologists and surgeons is of crucial importance. Double gallbladder does not present with any specific symptom, neither it increases disease possibility in either lobe. Prophylactic cholecystectomy has no role in asymptomatic cases diagnosed accidentally. Author reports a case of a symptomatic young male with double gallbladder who presented with short history of dyspepsia, abdominal pain and fever. Definite preoperative diagnosis was reached with ultrasound scan and magnetic resonance cholangio pancreatography and subsequently dealt with laparoscopically. Calculous cholecystitis affected one lobe and acalculous empyema the other. While the 1st lobe drained though a cystic duct into common bile duct (CBD), the 2nd was without any communication with either CBD or its counterpart, thus remained as a blind vesicle.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=93;epage=96;aulast=GhoshDoublegallbladder anomalylaparoscopic cholecystectomypathology |
| spellingShingle | Sumanta Kumar Ghosh Laparoscopic cholecystectomy in double gallbladder with dual pathology Journal of Minimal Access Surgery Double gallbladder anomaly laparoscopic cholecystectomy pathology |
| title | Laparoscopic cholecystectomy in double gallbladder with dual pathology |
| title_full | Laparoscopic cholecystectomy in double gallbladder with dual pathology |
| title_fullStr | Laparoscopic cholecystectomy in double gallbladder with dual pathology |
| title_full_unstemmed | Laparoscopic cholecystectomy in double gallbladder with dual pathology |
| title_short | Laparoscopic cholecystectomy in double gallbladder with dual pathology |
| title_sort | laparoscopic cholecystectomy in double gallbladder with dual pathology |
| topic | Double gallbladder anomaly laparoscopic cholecystectomy pathology |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=2;spage=93;epage=96;aulast=Ghosh |
| work_keys_str_mv | AT sumantakumarghosh laparoscopiccholecystectomyindoublegallbladderwithdualpathology |