To report a case of double gallbladder with cystic duct variation and highlight the importance of intraoperative cholangiography in managing such anomalies.
Approach:
Case Presentation: A 20-year-old female presented with right upper quadrant pain and was diagnosed with gallbladder stones and a double gallbladder malformation via MRI/MRCP.
Intraoperative Findings: Intraoperative exploration revealed two gallbladders sharing a single cystic artery, leading to an intraoperative cholangiogram to clarify biliary anatomy.
Surgical Intervention: Laparoscopic double cholecystectomy was performed successfully under intraoperative cholangiography guidance.
Key Findings:
Double gallbladder is a rare congenital anomaly with an incidence of approximately 1 in 4,000.
Preoperative imaging may not accurately reflect intraoperative anatomy, especially with complex cystic duct variations.
Intraoperative cholangiography is essential for clarifying biliary anatomy and preventing iatrogenic injury.
Interpretation:
This case illustrates the potential for misclassification of biliary anatomy based on preoperative imaging and the need for intraoperative verification.
Limitations:
The study is based on a single case report, limiting generalizability.
Preoperative imaging techniques may not always provide accurate anatomical details.
Conclusion:
Intraoperative cholangiography is crucial in managing complex biliary anomalies to ensure surgical safety.
