LAPAROSCOPIC CHOLECYSTECTOMY IN A CASE OF DUPLICATION OF GALL BLADDER,A RARE CASE REPORT

Dr. Sandip Kumar Ghosh; Dr. Ajay Halder; Dr. Madhusudan Saha; Dr. Prabir Biswas; Dr. Somanath K

Volume : IX, Issue : VII, July - 2020

LAPAROSCOPIC CHOLECYSTECTOMY IN A CASE OF DUPLICATION OF GALL BLADDER,A RARE CASE REPORT

Dr. Sandip Kumar Ghosh, Dr. Ajay Halder, Dr. Madhusudan Saha, Dr. Prabir Biswas, Dr. Somanath K

Abstract :

INTRODUCTION Duplication of gall bladder is a rare congenital anomaly. Incidence about 1 in every 4000 births. Anatomical variations of gall bladder of their positions have increased risk of complications mainly after laparoscopic cholecystectomy. So proper pre operative imaging is needed to avoid these complications. These type of anomalies could be associated with cholelithiasis. Now laparoscopic cholecystectomy is the treatment of choice for cholelithiasis. Intra operative anatomy should be clear. CASE DISCUSSION A 14 year female patient was attended the emergency with complain of pain in the right upper quadrant since last 1 day, pain was colicky in nature and increased with food intake. Pain was associated with nausea and 2 episodes of vomiting. USG of hepatobiliary region showed two separate gall bladder with a common cystic duct (?Duplication of gall bladder). Patient then had a CT scan and MRCP to confirm the diagnosis and also to look for other vascular and biliary tract anomalies. Laparoscopic Cholecystectomy was planned, on entering the abdomen two separate fundus noted. After dissecting Calot�s triangle, two separate cystic ducts were noted. These ducts later joined together and were draining into CBD, a single cystic artery was visualized properly. CONCLUSION This rare anomaly of duplication of gall bladder dose not have any specific sign and symptoms except with gall stone disease and the chance of developing gall stone disease in a duplicated gall bladder is same as the normal variant. Though it is a rare case, it is important to know the different anatomical variations of gall bladder, now a days USG, CECT, MRCP is easily available, these can be used for diagnosis preoperatively so that intraoperative injuries can be avoided.