Alsharedah Ali H, Alotaibi Sarah M, Khan Basim F, Alshaibani Askar K, Algarni Saad A
Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Cureus. 2020 Sep 27;12(9):e10675. doi: 10.7759/cureus.10675.
Laparoscopic cholecystectomy has become one of the most commonly performed abdominal surgeries worldwide. Several anatomic variations and congenital malformations in the gallbladder and biliary anatomy have been described. We reported the case of a middle-aged woman who presented with jaundice and abdominal pain. Her laboratory investigations revealed an elevated bilirubin level (mainly the direct component). The patient showed an improvement in the clinical and laboratory parameters after conservative management. Then, the patient was prepared for a laparoscopic cholecystectomy which revealed a duplication of the gallbladder with two distinct cystic ducts draining independently to the common bile duct. The procedure was completed uneventfully. This type of gallbladder duplication is among the least common types. The case highlights the importance of having a meticulous intraoperative evaluation of the biliary anatomy to avoid potential complications and injuries.
腹腔镜胆囊切除术已成为全球最常施行的腹部手术之一。胆囊和胆道解剖结构存在多种解剖变异和先天性畸形。我们报告了一例出现黄疸和腹痛的中年女性病例。她的实验室检查显示胆红素水平升高（主要是直接胆红素成分）。经过保守治疗，患者的临床和实验室指标有所改善。随后，患者准备接受腹腔镜胆囊切除术，术中发现胆囊重复畸形，有两条独立的胆囊管分别汇入胆总管。手术顺利完成。这种类型的胆囊重复畸形是最不常见的类型之一。该病例凸显了术中细致评估胆道解剖结构以避免潜在并发症和损伤的重要性。
