Symptomatic H- type gallbladder in a male patient: A rare case report from Syria

ABSTRACT:

Introduction and importance

Double gallbladders are a rare anomaly occur in biliary system during the fetal life. In most cases they are asymptomatic, but in few patients, they can progress as a sever disease. Preoperative diagnose is essential in order to prevent surgery complexities and prevent the undesired complications.

Case presentation

We described a typical case of symptomatic duplicate gallbladder in a 42-year-old man who suffered from chronic abdominal symptoms without determining the cause. The accessory gallbladder was discovered by imagining screening tools which included ultrasound and magnetic resonance cholangiopancreatography and was treated successfully with laparoscopic cholecystectomy, where both gallbladders were removed without any complications.

Clinical discussion

Double gallbladder are rare abnormality occur in fetal life during the fifth and sixth weeks of pregnancy. In most cases they show zero symptoms and can be easily wandered off during typical preoperative screening. Therefor many diagnostic tools were developed to investigate this anomaly in order to prevent its unwanted outcomes and to help the surgeon in deciding the best surgical approach for each presenting case.

Conclusion

In order to prevent complications during surgery, it is vital that we investigate the presence of a double gallbladder in a surgical patient before the procedure. Highlights • The presence or absence of sickness in accessory gallbladder depends on the presence or absence of complications which are caused by the same Pathogenic factors that are indicted in complicated mono gall bladder.• As ultrasounds can be limited in distinguishing bilobed gallbladder and real duplication, a following MRI should be performed for better investigating and evaluation.• In accidental cases, both gallbladders should be considered if the surgical approach was approved.• In H-type double gallbladder intervention there is a high potential to damage the biliary ducts and arteria hepatica.

SUBMITTER: Jouni S 

PROVIDER: S-EPMC9207078 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature