Acute abdomen due to duplicated and complicated gallbladder

Authors

Keywords:

gallbladder malformations, gallbladder gangrene, vesicular duplicity.

Abstract

Introduction: Bile duct malformations are extremely rare, and generally do not present complications that justify urgent surgical intervention. When it occurs, the clinical picture is similar to that of a patient with a gallbladder without congenital malformations.
Objective: Describe a case of acute abdomen due to complicated gallbladder duplication.
Clinical case: 46-year-old patient with a history of dyspepsia, who came the emergency with acute abdominal pain. Gallbladder gangrene is diagnosed, and surgical treatment is decided. During surgery, a double vesicular system was found, one area ofnecrosis and the other with chronic inflammatory changes. Cholecystectomy is performed on both organs. The evolution was favorable.
Conclusions: The occurrence of an acute abdomen in a patient with gallbladder duplication is infrequent. The case is presented that contributes to deepen the knowledge about the course of action in this disease.

Downloads

Download data is not yet available.

References

1. Nicolás García A, Prado E. Duplicación de la vesícula biliar. Rev Chil Radiol. 2017[acceso: 14/05/2021]; 23(1): 41-44. Disponible en: https://scielo.conicyt.cl/pdf/rchradiol/v23n1/art10.pdf

2. Morales González A, Martínez Fernández J, Guillén Paredes M, Pardo García JL. Malformación Vesicular: Duplicidad Vesicular completa, como hallazgo en una colecistectomía rutinaria. CIR ESP. 2015 [acceso: 18/07/2021]; 93(Espec. Cong.): 522. Disponible en: https://www.elsevier.es/es-revista-cirugia-espanola-36-congresos-xx-reunion-nacional-cirugia-20-sesion-cirugia-hepatobiliopancreatica-1725-comunicacion-malformacion-vesicular-duplicidad-vesicular-completa-17376-pdf

3. López Milhet AB, Hernández Gutiérrez JM, Roque González R, Nodal Ortega J, Pernia González L. Vesícula biliar aberrante. Rev Cubana Cir. 2012 [acceso: 1/07/2021]; 51(1): 79-83. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932012000100010&lng=en

4. Garrido Márquez I, Olmedo Sánchez E, García Pérez PV. Duplicación de vesícula biliar como hallazgo incidental: una variante anatómica infrecuente. RAPD Online. 2021 [acceso: 16/02/2021]; 44(3):115-17. Disponible en: https://www.sapd.es/revista/2021/44/3/07

5. Moya Sánchez E, Medina Salas V, Diéguez Castillo C. Duplicación vesicular y colecistitis aguda. Cir Andal. 2019 [acceso: 6/07/2021]; 30(4):535-36. Disponible en: https://www.asacirujanos.com/revista/2019/30/4/18

6. Alratrout H, Raharimanantsoa M, Brigand C, Moliere S, Berdugo Y, Uzan J,et al. Biliary pancreatitis in a duplicate gallbladder: a case report and review of literature. Franc Journal of Surgical Case Reports. 2018 [acceso: 11/02/2021]; 5: 1-4. Disponible en: https://academic.oup.com/jscr/article/2018/5/rjy112/5017815

7. Jai S. Duplication of the Gallbladder as an Operative Surprise: A Case Report with Review of the Literature. Case Reports in Surgery. 2021[acceso: 14/07/2021]; 2021: 6668302. Disponible en: https://www.hindawi.com/journals/cris/2021/6668302/

8. Luengo Ballester O, Cascales Sánchez P, Martínez Moreno A, Camacho Dorado C, Conde Inarejos B, Sánchez Gallego A, et al. Duplicidad de vesícula biliar con colelitiasis asociada a anomalías vasculares hepáticas. Manejo diagnóstico y quirúrgico. Cir Esp. 2019 [acceso: 14/07/2021]; 97:8. Disponible en: https://www.elsevier.es/es-revista-cirugia-espanola-36-congresos-xxii-reunion-nacional-cirugia-104-sesion-cirugia-mayor-ambulatoria-5552-comunicacion-duplicidad-de-vesicula-biliar-con-65560-pdf

9. Reddy OJ, Gafoor JA, Suresh B, Prasad PO. Duplication of gallbladder: A rare congenital malformation. J NTR Univ Health Sci. 2015 [acceso: 14/07/2021]; 4(4):269-271. Disponible en: https://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2015;volume=4;issue=4;spage=269;epage=271;aulast=Reddy

10. Campos D'Amico R, Ricardo Sfredo L, Aleksander Graff Kindra L, Rodrigues Villela I, TháNassif L. Vesícula biliar duplicada en colecistectomía video laparoscópica. Relatos casos Cir. 2018 [acceso: 18/12/2020]; 4(4):e2021. Disponible en: https://relatosdocbc.org.br/detalhes/179/vesicula-biliar-duplicada-em-colecistectomia-videolaparoscopica

11. Musleh M, Burnett H, Rajashanker B, Ammori B. Laparoscopic double cholecystectomy for duplicated gallbladder: a case report. Int J Surg Case Rep. 2017 [acceso: 14/07/2021]; 41:502-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5723274/

12. Apolo Romero EX, Gálvez Salazar PF, Estrada Chandi JA, González Andrade F, Molina Proaño GA, Mesías Andrade FC, Cadena Baquero JC. Gallbladder duplication and cholecystitis. J Surg Case Rep. 2018 [acceso: 14/07/2021]; 7:1-3. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030904/

13. Al Rawahi A, Al Azri Y. Successfull laparoscopic management of duplicate gallbladder: a case report and review of literature. Int J Surg Case Rep. 2016 [acceso: 07/07/2021]; 21:142-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27002289/

14. Yagan Pillay. Gallbladder duplication International Journal of Surgery Case Reports. 2015 [acceso: 23/11/2020]; 11: 18-20. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446663/

Published

2022-03-05

How to Cite

1.
Vives Balmaseda EJ, Ortega Abstengo EJ, Concepción López MA, Rodríguez Martínez OS, Rojas Sánchez JH, Urgellés Carreras SA. Acute abdomen due to duplicated and complicated gallbladder. Rev Cubana Med Milit [Internet]. 2022 Mar. 5 [cited 2025 Mar. 14];51(1):e02201536. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1536

Issue

Section

Case Presentation