Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 5/2015

01.07.2015 | Review

MRCP imaging of duplicate gallbladder: a case report and review of the literature

verfasst von: Alex Botsford, Kathy McKay, Angus Hartery, Connie Hapgood

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Duplicate gallbladder is a rare congenital abnormality of the hepatobiliary system that has an incidence of roughly 1 in 4000. Many surgical studies have demonstrated that congenital anomalies of the gallbladder and anatomical variations of its position are associated with an increased risk of complications after laparoscopic cholecystectomy.

Methods

Using ultrasound, MRCP and 3D reconstructions, we report a case of a 29-year-old female who was incidentally revealed to have a duplicated gallbladder. A review of the literature surrounding this variant, its anatomical classifications and relevance to surgical practice is included.

Conclusion

The double gallbladder is a rare congenital condition that is often not considered in the differential diagnosis for a patient with gallbladder disease or intraoperatively. At present, it is only detected via pre-operative imaging in 50 % of cases, but an understanding of the limitations of ultrasound combined with more frequent and thorough use of MRCP before surgical intervention could prevent serious complications of laparoscopy in these patients.
Literatur
1.
Zurück zum Zitat Borghi F et al (2008) Perforation of missed double gallbladder after primary laparoscopic cholecystectomy: endoscopic and laparoscopic management. J Laparoendosc Adv Surg Tech A 18(3):429–431CrossRefPubMed Borghi F et al (2008) Perforation of missed double gallbladder after primary laparoscopic cholecystectomy: endoscopic and laparoscopic management. J Laparoendosc Adv Surg Tech A 18(3):429–431CrossRefPubMed
2.
Zurück zum Zitat Boyden EA (1926) The accessory gall-bladder—an embryological and comparative study of aberrant biliary vesicles occurring in man and the domestic mammals. Am J Anat 38:177–231CrossRef Boyden EA (1926) The accessory gall-bladder—an embryological and comparative study of aberrant biliary vesicles occurring in man and the domestic mammals. Am J Anat 38:177–231CrossRef
3.
Zurück zum Zitat Causey MW et al (2010) Gallbladder duplication: evaluation, treatment, and classification. J Pediatr Surg 45(2):443–446CrossRefPubMed Causey MW et al (2010) Gallbladder duplication: evaluation, treatment, and classification. J Pediatr Surg 45(2):443–446CrossRefPubMed
4.
Zurück zum Zitat de Leeuw TG et al (1995) A double or bilobar gallbladder as a cause of severe complications after (laparoscopic) cholecystectomy. Surg Endosc 9(9):998–1000CrossRefPubMed de Leeuw TG et al (1995) A double or bilobar gallbladder as a cause of severe complications after (laparoscopic) cholecystectomy. Surg Endosc 9(9):998–1000CrossRefPubMed
5.
Zurück zum Zitat Gigot J et al (1997) Laparoscopic treatment of gallbladder duplication. A plea for removal of both gallbladders. Surg Endosc 11(5):479–482CrossRefPubMed Gigot J et al (1997) Laparoscopic treatment of gallbladder duplication. A plea for removal of both gallbladders. Surg Endosc 11(5):479–482CrossRefPubMed
6.
Zurück zum Zitat Gocmen R, Yesilkaya Y (2012) Imaging findings of gallbladder duplication due to two cases: case report and review of literature. Med Ultrason 14(4):358–360PubMed Gocmen R, Yesilkaya Y (2012) Imaging findings of gallbladder duplication due to two cases: case report and review of literature. Med Ultrason 14(4):358–360PubMed
7.
Zurück zum Zitat Goiney RC et al (1985) Sonography of gallbladder duplication and differential considerations. AJR Am J Roentgenol 145(2):241–243CrossRefPubMed Goiney RC et al (1985) Sonography of gallbladder duplication and differential considerations. AJR Am J Roentgenol 145(2):241–243CrossRefPubMed
8.
Zurück zum Zitat Harlaftis N, Gray SW, Skandalakis JE (1977) Multiple gallbladders. Surg Gynecol Obstet 145:928–934PubMed Harlaftis N, Gray SW, Skandalakis JE (1977) Multiple gallbladders. Surg Gynecol Obstet 145:928–934PubMed
9.
Zurück zum Zitat Kim RD et al (2009) Duplicate gallbladder arising from the left hepatic duct: report of a case. Surg Today 39(6):536–539CrossRefPubMed Kim RD et al (2009) Duplicate gallbladder arising from the left hepatic duct: report of a case. Surg Today 39(6):536–539CrossRefPubMed
10.
Zurück zum Zitat Kothari PR et al (2005) Unusual features of gall bladder duplication cyst with review of the literature. Pediatr Surg Int 21(7):552–554CrossRefPubMed Kothari PR et al (2005) Unusual features of gall bladder duplication cyst with review of the literature. Pediatr Surg Int 21(7):552–554CrossRefPubMed
11.
Zurück zum Zitat Ozgen A et al (1999) Gallbladder duplication: imaging findings and differential considerations. Abdom Imaging 24(3):285–288CrossRefPubMed Ozgen A et al (1999) Gallbladder duplication: imaging findings and differential considerations. Abdom Imaging 24(3):285–288CrossRefPubMed
12.
Zurück zum Zitat Singh B et al (2006) Duplicate gallbladder: an unusual case report. Surg Radiol Anat 28(6):654–657CrossRefPubMed Singh B et al (2006) Duplicate gallbladder: an unusual case report. Surg Radiol Anat 28(6):654–657CrossRefPubMed
13.
Zurück zum Zitat Vitellas KM et al (2000) MR cholangiopancreatography of bile and pancreatic duct abnormalities with emphasis on the single-shot fast spin-echo technique. Radiographics 20(4):939–957 (quiz 1107–8, 12)CrossRefPubMed Vitellas KM et al (2000) MR cholangiopancreatography of bile and pancreatic duct abnormalities with emphasis on the single-shot fast spin-echo technique. Radiographics 20(4):939–957 (quiz 1107–8, 12)CrossRefPubMed
Metadaten
Titel
MRCP imaging of duplicate gallbladder: a case report and review of the literature
verfasst von
Alex Botsford
Kathy McKay
Angus Hartery
Connie Hapgood
Publikationsdatum
01.07.2015
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 5/2015
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-015-1456-1

Weitere Artikel der Ausgabe 5/2015

Surgical and Radiologic Anatomy 5/2015 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.