Guajardo-Salinas Gustavo E, Martinez-Ugarte Maria L, Abourjaily Georges
University of Texas Health Science Center.
Maine Medical Center, San Antonio, USA.
J Surg Case Rep. 2010 Sep 1;2010(7):5. doi: 10.1093/jscr/2010.7.5.
Double gallbladder is a rare finding in patients with symptomatic cholelithiasis or acute cholecystitis. The incidence has been described as 1 in every 4000-5000 patients during autopsy. To identify the gallbladder (GB) duplication prior to surgical removal of the GB is of upmost importance. It is not unusual to identify this diagnosis intraoperatively, but by using US, ERCP or MRCP more than 50% of the cases are diagnosed preoperatively. The use of intraoperative cholangiogram helps to identify the anatomy and confirm the diagnosis during laparoscopic cholecystectomy in patients with gallbladder duplication.
双胆囊在有症状的胆石症或急性胆囊炎患者中是一种罕见的发现。据描述，在尸检过程中，其发病率为每4000 - 5000例患者中有1例。在手术切除胆囊之前识别胆囊重复极为重要。术中识别这种诊断并不罕见，但通过超声、内镜逆行胰胆管造影（ERCP）或磁共振胰胆管造影（MRCP），超过50%的病例可在术前被诊断出来。术中胆管造影有助于在胆囊重复患者的腹腔镜胆囊切除术中识别解剖结构并确认诊断。
