Double gallbladder malformation with duodenal ulcer stricture leading to common bile duct dilation: a case report
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By
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Rui-Biao Fu
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Xiao-Feng Dong
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July 2, 2026
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Clinical Scorecard: Case Report of a Rare Double Gallbladder Anomaly with Duodenal Ulcer-Induced Stricture Resulting in Common Bile Duct Dilation
At a Glance
| Category | Detail |
|---|
| Condition | Double Gallbladder Anomaly with Duodenal Ulcer-Induced Stricture |
| Key Mechanisms | Chronic biliary obstruction due to duodenal bulb stricture leading to cholestasis and common bile duct dilation. |
| Target Population | Adults with biliary anomalies and duodenal ulcers. |
| Care Setting | Hepatobiliary surgery and multidisciplinary surgical management. |
Key Highlights
- Rare congenital anomaly of double gallbladder observed.
- Duodenal ulcer-related stricture caused chronic biliary obstruction.
- Imaging revealed significant dilation of intrahepatic and extrahepatic bile ducts.
- Surgical intervention was required after failed conservative management.
- Cholestatic laboratory findings necessitated consideration of proximal obstructive lesions.
Guideline-Based Recommendations
Diagnosis
- Consider duodenal bulb strictures in differential diagnosis of unexplained biliary dilation.
Management
- Multidisciplinary surgical approach recommended for complex cases.
Monitoring & Follow-up
- Monitor for signs of biliary obstruction and cholestasis.
Risks
- Potential for complications from anatomical variations in biliary system.
Patient & Prescribing Data
56-year-old male with a history of duodenal ulcer and biliary anomalies.
Intermittent proton pump inhibitor therapy was used but with suboptimal compliance.
Clinical Best Practices
- Utilize imaging studies to assess biliary dilation and anatomical variants.
- Implement individualized surgical strategies within a multidisciplinary team framework.
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