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Gallbladder duplication with Gallstone migration. A case report and literature review
(Oficyna Wydawnicza AFM, 2021) Kebir, Zakaria; Vece, Rodolfo Romero; Badaro, Daniel; Catheline, Jean Marc
Congenital gallbladder anomalies and variations in their anatomical position are associated with an increased risk of complications after laparoscopic cholecystectomy. A 28-year-old female patient with no previous medical history, presented to the emergency department with complaints of epigastric pain, radiating to the back, associated with constipation, and progressively increasing in intensity over 5 days. No gallstones were visualized in the distal CBD. Neither any pancreatic mass, nor dilation of the main pancreatic duct was identified. A voluminous gallstone of 20 mm in the gallbladder and multiple microlithiasis in the gallbladder neck were identified. The diagnosis of symptomatic cholelithiasis with gallstone migration was retained, and the decision was taken to hospitalize the patient in order to institute symptomatic treatment and to carry out further investigations to explore the etiology of the CBD dilatation. On MRCP the presence of a congenitally folded gallbladder, containing gallstones was confirmed. The decision was made to operate on the patient one month later by laparoscopy. A laparoscopic cholecystectomy was performed one month later, on an outpatient basis. The surgery was carried out without any difficulty, and Calot’s triangle was dissected relatively easily.