Unsuspected Duplicated Gallbladder in a Patient Presenting with Acute Cholecystitis

Abstract

Duplicated gallbladder (GB) is a rare congenital disease. Surgical management of a duplicated GB needs special care because of concurrent bile duct anomalies and the risk of injuring adjacent arteries during surgery. An 80-year-old man visited an emergency room with right upper quadrant abdominal pain. Computed tomography (CT) revealed cholecystitis with a 2-bodied GB. Because of this unusual finding, magnetic resonance choledochopancreatography was performed to detect possible biliary anomalies. The 2 GB bodies were unified at the neck with a common cystic duct, a so-called V-shaped duplicated GB. The patient's right posterior hepatic duct joined the common bile duct (CBD) near the cystic duct. The patient underwent laparoscopic cholecystectomy without adjacent organ injury, and was discharged uneventfully. Surgeons should carefully evaluate the patient preoperatively and select adequate surgical procedures in patients with suspected duplicated GB because of the risk of concurrent biliary anomalies.

Improved Synthesis of Hollow Fiber SSZ‐13 Zeolite Membranes for High‐Pressure CO2/CH4 Separation

“…The most challenging issue is the scale‐up synthesis of zeolite membranes for high‐pressure gas separation [16,24, 26a, 44] . Here, the scaled‐up synthesis of nine 40 cm‐long membranes was carried out in one batch to verify the feasibility of our approach (Figure 5a).…”