'H-type' duplex gallbladder resected laparoscopically with transcystic choledochoscopy and stone retrieval

BMJ Case Rep. 2024 Sep 25;17(9):e257920. doi: 10.1136/bcr-2023-257920.

Abstract

A duplex gallbladder is an extremely rare congenital anomaly that while may remain asymptomatic, may also develop into biliary colic, cholecystitis, cholangitis or pancreatitis. In these circumstances, it is advisable to surgically remove both gallbladders. Typically, a cholecystectomy is performed laparoscopically as this aids patient recovery and complication risk; however, when congenital abnormalities are present, some may choose to revert to an open operation. Through this case, we demonstrate that even when presented with a duplex gallbladder during surgery, it is safe to remove it laparoscopically as well as performing transcystic choledochoscopy and basket retrieval without complications.

Keywords: Biliary intervention; Common bile duct; General surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cholecystectomy, Laparoscopic / methods
  • Female
  • Gallbladder* / abnormalities
  • Gallbladder* / diagnostic imaging
  • Gallbladder* / surgery
  • Gallstones / diagnostic imaging
  • Gallstones / surgery
  • Humans
  • Laparoscopy / methods
  • Male