Endoscopic retrograde cholangiographic demonstration of a double gallbladder following laparoscopic cholecystectomy

Heinerman, M.; Lexer, G; Sungler, P.; Mayer, F; Boeckl, O

doi:10.1007/bf00187888

Cited by 17 publications

(9 citation statements)

References 5 publications

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“…71 In fact, ultrasonography, which is ordinarily sufficient for preoperative investigation of gallbladder diseases, may fail to detect a second gallbladder due to the insensitivity of the test itself or misinterpretation of the findings. 72,73 Moreover, even the laparoscopic exploration of peritoneal cavity may produce the same disappointing result, 74 so that singlestaged successful laparoscopic removals of double gallbladders are rarely reported. 75,76 Either gallbladder may be stone-diseased 77 thus causing missing or, potentially, intentional sparing of one gallbladder in the course of laparotomic as well laparoscopic cholecystectomy, with subsequent possible complications or relapse of lithiasis 78 and the need of a second operation to remove the missed gallbladder.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic Treatment of Stone Recurrence in a Gallbladder Remnant: Report of an Additional Case and Literature Review

Pernice

Andreoli

2009

Journal of Gastrointestinal Surgery

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Cholecystectomy is an effective treatment of gallstones. Nevertheless, recurrence of biliary symptoms following cholecystectomy, either laparotomic or laparoscopic, is quite common. Causes are either biliary or extrabiliary. Symptoms of biliary origin chiefly depend on bile duct residual stones or strictures. Rarely, they depend on stone recurrence in a gallbladder remnant. Diagnosis of gallstone recurrence in gallbladder remnant is difficult, mainly arising from ultrasonography, computed tomography, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography.Incomplete gallbladder removal may be either voluntary or inadvertent: in the first case, it is performed to remove gallstones without dissecting a difficult Calot's triangle or an excessively bleeding posterior wall of gallbladder caused by liver cirrhosis. Available data do not support the hypothesis that laparoscopic cholecystectomy entails an increased incidence of this condition, in spite of some opposite opinions. Treatment of lithiasis in gallbladder remnants is chiefly surgical. Although technically demanding, completion cholecystectomy can be safely performed in a laparoscopic way. We report a case of stone relapse in a gallbladder remnant, discovered 16 years following laparoscopic cholecystectomy and successfully treated by laparoscopic completion cholecystectomy. We furthermore review literature data in order to ascertain whether recent large diffusion of laparoscopic surgery causes an increase of such cases.

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Section: Discussionmentioning

confidence: 98%

Laparoscopic Treatment of Stone Recurrence in a Gallbladder Remnant: Report of an Additional Case and Literature Review

Pernice

Andreoli

2009

Journal of Gastrointestinal Surgery

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“…Another problem encountered in our observation was the partially intrahepatic location of the accessory gallbladder [2,7,10,11,26], which made the dissection from the liver parenchyma more difficult [10]. The intrahepatic location of an accessory gallbladder can lead to its being overlooked during surgery and to the need for a second cholecystectomy [10], as recently also reported following laparoscopic cholecystectomy [16]. In our observation, we found the argon-beam coagulator useful for achieving hemostasis during complete removal of the accessory gallbladder from the hepatic parenchyma of the right lobe of the liver.…”

Section: Discussionmentioning

confidence: 75%

“…In our observation, we found the argon-beam coagulator useful for achieving hemostasis during complete removal of the accessory gallbladder from the hepatic parenchyma of the right lobe of the liver. All reported cases of gallbladder duplication have been treated by open surgery, and only three cases of laparoscopic cholecystectomy have been reported [2,16,24]. To the best of our knowledge, therefore, this is the second case in which complete laparoscopic cholecystectomy was performed.…”

Section: Discussionmentioning

confidence: 85%

Laparoscopic treatment of gallbladder duplication

et al. 1997

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“…It has been suggested that ERCP is the most accurate test in displaying the biliary tract anatomy of gallbladder duplications [14] , however ERCP is not indicated for most patients with biliary colic due to its invasive nature [11] . In the present case, even though ERCP was performed for evaluation of the biliary stricture, it did not identify the medial gallbladder with an obstructed cystic duct.…”

Section: Discussionmentioning

confidence: 99%

Duplicated gallbladder with obstructive jaundice: a case report with video

Ghaderi¹,

Flanagan²,

Bhansali³

et al. 2018

MIS

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A 38-year-old male presented with painful obstructive jaundice. Ultrasound showed biliary dilatation and a duplicated gallbladder (DG). Magnetic resonance cholangiopancreatography (MRCP) imaging confirmed the diagnosis of DG and raised the suspicion of a stricture in the distal common bile duct. Endoscopic retrograde cholangiogram, sphincterotomy with small stone extraction, and biliary stent placement were accomplished, and the patient was transferred to our tertiary center. Given the report of a stricture, endoscopic retrograde cholangiopancreatography (ERCP) was repeated and showed no duct narrowing or persistent choledocholithiasis, but only one cystic duct and gallbladder filled. The patient subsequently underwent laparoscopic cholecystectomy using top-down technique with complete resection of both gallbladders. Postoperatively, the patient underwent another ERCP for elevated bilirubin due ampullary edema. Subsequently, his bilirubin normalized and he was discharged home on postoperative day 5. DG is a rare anatomical finding that may be associated with choledocholithiasis and cholecystitis. In this case, a combination of radiographic, endoscopic and laparoscopic procedures was utilized to resolve the patient's clinical problem.

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Endoscopic retrograde cholangiographic demonstration of a double gallbladder following laparoscopic cholecystectomy

Abstract: We report a case of a doubled gallbladder missed in preoperative ultrasound and laparoscopic cholecystectomy but demonstrated by endoscopic retrograde cholangiography (ERC) postoperatively.

Cited by 17 publications

References 5 publications

Laparoscopic Treatment of Stone Recurrence in a Gallbladder Remnant: Report of an Additional Case and Literature Review

Laparoscopic Treatment of Stone Recurrence in a Gallbladder Remnant: Report of an Additional Case and Literature Review

Laparoscopic treatment of gallbladder duplication

Duplicated gallbladder with obstructive jaundice: a case report with video

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