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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 2, 2013, pp. 156-163
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Bioline Code: js13044
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 2, 2013, pp. 156-163
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Congenital Duplex Gallbladder Anomaly Presenting as Gangrenous Perforated Intrahepatic Cholecystitis A Case Report and Review of Literature.
Muguti, E. G.; Muchuweti, D. & Munyika, A. A.
Abstract
Background:
Ectopic intrahepatic gallbladder is a rare phenomenon. Gallbladder duplication is an
even rarer phenomenon. Pathological processes are more common in congenital anomalies of the
gall bladder than normal gallbladders due to poor drainage.
Case Report:
We present a case of duplex gallbladder with one component intrahepatic and the
other extra-hepatic, the duo draining via a common cystic duct into the common bile duct. Both
gallbladder moieties were diseased. The intrahepatic moiety was gangrenous and perforated thus
mimicking an intrahepatic abscess by a gas forming organism .The extra-hepatic moiety was
chronically inflamed and packed with gallstones of the same physical and biochemical
characteristics as the intrahepatic moiety. The definitive diagnosis was only made at emergency
laparotomy. Stone gathering and debridement of the ruptured, gangrenous intrahepatic moiety and
cholecystectomy for the extra-hepatic moiety was done. On table cholangiography, though desired,
was not available. The patient fully recovered after post-operative intensive care.
Conclusion:
An extensive internet literature search did not reveal any previously described case.
This could be the first such case described in the world literature. Though rare, congenital
anomalies of the gallbladder must be known to surgeons as they can present unexpectedly and pose
diagnostic and operative surgical challenges with serious clinical implications. The management
challenges experienced and literature review is presented.
Keywords
Duplex; Gallbladder; Intrahepatic; Gangrenous; Cholecystitis
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© Copyright 2013 - East and Central African Journal of Surgery
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