Chollada Suwannachod, Dr, Setthasiri Pantanakul, Dr, Siriporn Angchuan, Dr, Petch Kasetsuwan, Dr. Bhumibol Adulyadej Hospital
Duplication of gallbladder is a very rare congenital malformation that occur in about 1 per 4000 births. Variations of the gallbladder and cystic duct anatomy are associated with an increased risk of complications during cholecystectomy. Pre-operative diagnosis is rarely made but very important in order to prevent operative complications. Our report is a case of 42-year-old man with history of cholangitis. Ultrasound and Endoscopic Retrograde Cholangiopancreaticography (ERCP) were performed but did not demonstrate his congenital anomaly. During laparoscopic cholecystectomy we found 3 feeding arteries and a large caliber of cystic duct. Operative time was 135 minutes. Operation was successful without any complication. The duplication of gallbladder was comfirmed with gross and histological finding.
Conclusion:The critical point of the procedure is a good exposure, to clearly identify critical view of safety, and make sure before resected both cystic duct and cystic artery in very particular patient even in the patient with normal imaging.