J Korean Surg Soc.  2005 Oct;69(4):346-349.

Operation for Accessory Gallbladder Originating from Right Hepatic Duct

• Kim IH
• Lee DS
• Yun SS
• Kim HJ

Abstract

A double gallbladder is a condition that arises during the fetal period due to the abnormal differentiation of presumptive gallbladder cells, which causes two separate gallbladders, each with their own cystic duct. Most cases are diagnosed incidentally during surgery. Detailed preoperative investigations (ultrasound, oral cholecystography, intravenous cholangiography, CT, ERCP and MRCP) are required for an accurate preoperative diagnosis before considering a cholecystectomy to avoid inadvertent damage to the biliary ductal system and to overlook the second gallbladder during surgery. A total cholecystectomy, with removal of both gallbladders, should be the appropriate treatment for a double gallbladder to avoid complications and a reoperation. We report a patient with an accessory gallbladder, originating from right hepatic duct, and also discuss the characeristics of this rare anomaly.

Keyword

Double gallbladder; Cholangiography; Open cholecystectomy

MeSH Terms

Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy
Cholecystography
Cystic Duct
Diagnosis
Gallbladder*
Hepatic Duct, Common*
Humans
Reoperation