Torsion of a double gall-bladder: A report of a case and a review of the literature

Acalculous disease of the gall bladder.

“…'2 It has been described in one moiety of a double gall bladder. 13 The presentation mimics that of acute cholecystitis, and the correct diagnosis is hardly ever suspected before laparotomy. Classically, pain is of sudden onset and there is a tender mass in the right upper quadrant.8"'…”

Laparoscopic treatment of gallbladder duplication

“…Twenty-six of 56 cases in which gallstone was confirmed at surgery or at autopsy had only one lobe affected in the series of Harlaftis et al [15]. All kinds of the usual diseases affecting the gallbladder have been described, including acute cholecystitis and empyema [3], chronic cholecystitis [2], cholecystocolic fistula [29], torsion [28], papilloma [30], and carcinoma [27]. Combined use of ultrasound and oral cholecystography has been reported to be useful for the preoperative diagnosis of gallbladder duplication [38].…”

“…To the best of our knowledge, therefore, this is the second case in which complete laparoscopic cholecystectomy was performed. The procedure unfortunately had to be undertaken in two stages, with the aim of preserving the normal and functioning main gallbladder during the first cholecystectomy [4,26,28]. The occurrence of postoperative acute cholecystitis in the remaining viscus in our patient was probably related to traumatic intraoperative retraction to expose the intrahepatic accessory gallbladder.…”

Unusual features of gall bladder duplication cyst with review of the literature

“…They include acute cholecystitis, chronic cholecystitis, cholelithiasis, empyema, torsion, cholecystocolic fistula, lump in the abdomen, and carcinoma. There are no specific symptoms attributable to a double gall bladder [10]. It was usually detected preoperatively with radiographic techniques or was first encountered in the operating room [3] because even radiologic diagnosis of double gall bladder was difficult and uncertain prior to sonography.…”