<p>Double gallbladder is a rare congenital anomaly of the biliary system. In this study, we present an extremely rare case of a double gallbladder with an accessory cystic duct draining into the main pancreatic duct. The patient was a 14-year-old boy with recurrent acute pancreatitis. Endoscopic retrograde cholangiopancreatography revealed an accessory gallbladder draining into the main pancreatic duct, along with a filling defect suggestive of a stone within the accessory cystic duct. These findings did not suggest pancreaticobiliary maljunction. We safely performed laparoscopic resection of the gallbladder and accessory gallbladder, as well as accessory cystic duct stone removal, using intraoperative cholangiography. Biochemical analysis revealed elevated amylase levels in the gallbladder bile and elevated bilirubin levels in the accessory gallbladder fluid, suggesting bidirectional reflux of pancreatic juice and bile. Given the potential risk of malignancy, careful long-term follow-up is required. In this case report, we reviewed existing classifications of multiple gallbladders and reorganized them based on previously reported cases.</p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Laparoscopic cholecystectomy for double gallbladder with the accessory cystic duct draining into the main pancreatic duct

  • Yuki Okazoe,
  • Hiroaki Yanagimoto,
  • Daisuke Tsugawa,
  • Masayuki Akita,
  • Yusuke Yokotani,
  • Arata Sakai,
  • Atsuhiro Masuda,
  • Tetsuo Ajiki,
  • Yuzo Kodama,
  • Takumi Fukumoto

摘要

Double gallbladder is a rare congenital anomaly of the biliary system. In this study, we present an extremely rare case of a double gallbladder with an accessory cystic duct draining into the main pancreatic duct. The patient was a 14-year-old boy with recurrent acute pancreatitis. Endoscopic retrograde cholangiopancreatography revealed an accessory gallbladder draining into the main pancreatic duct, along with a filling defect suggestive of a stone within the accessory cystic duct. These findings did not suggest pancreaticobiliary maljunction. We safely performed laparoscopic resection of the gallbladder and accessory gallbladder, as well as accessory cystic duct stone removal, using intraoperative cholangiography. Biochemical analysis revealed elevated amylase levels in the gallbladder bile and elevated bilirubin levels in the accessory gallbladder fluid, suggesting bidirectional reflux of pancreatic juice and bile. Given the potential risk of malignancy, careful long-term follow-up is required. In this case report, we reviewed existing classifications of multiple gallbladders and reorganized them based on previously reported cases.