Anat Cell Biol.  2014 Jun;47(2):132-134. 10.5115/acb.2014.47.2.132.

Double gallbladder completely enclosed in a cystogastric fold of peritoneum

• Nayak SB
• Shetty SD
• Surendran
• Jetti R
• Kumar N
• Sirasanagandla SR

• KMID: 1882584
• DOI: http://doi.org/10.5115/acb.2014.47.2.132

Abstract

Double gallbladder is one of the rare congenital anomalies of the gallbladder. Failure to detect an accessory gallbladder hampers diagnosis and treatment of cholecystitis, which might result in recurrent attacks of cholecystitis. In addition, presence of peritoneal folds extending from the stomach and duodenum to the gallbladder is very rare. Here we report the presence of a double gallbladder enclosed in a cystogastric fold of the peritoneum. During cadaveric dissection, we observed a cystogastric peritoneal fold that extended from the lesser curvature of the stomach and the first part of the duodenum to the gallbladder. The left end of the peritoneal fold merged with the lesser omentum. It enclosed two gallbladders: the main gallbladder and a small accessory gallbladder. The accessory gallbladder was a small pouch with its fundus attached to the main gallbladder by fibrous tissue, and its duct opened into the main cystic duct.

Keyword

Gallbladder; Calot's triangle; Cystic duct; Cystogastric fold

MeSH Terms

Cadaver
Cholecystitis
Cystic Duct
Diagnosis
Duodenum
Gallbladder*
Omentum
Peritoneum*
Stomach

Figure

• 

  Fig. 1 Photograph of the upper abdominal viscera. Note the cystogastric peritoneal fold (PF) merging with the lesser omentum (LO) on the left and enclosing the gallbladder. A small fissure extending from the cystic notch (CN) to the gallbladder can be seen. D, duodenum; LLL, left lobe of the liver; LT, ligamentum teres; QL, quadrate lobe; RLL, right lobe of the liver.

• 

  Fig. 2 Closer view of the liver and gallbladder after removal of the peritoneal fold. Note the dumbbell shaped main gallbladder (GB) and the small accessory gallbladder (AGB). The cystic duct (CD), accessory cystic duct (ACD), common hepatic duct (CHD), cystic artery (CA), right hepatic artery (RHA), left hepatic artery (LHA), right lobe of the liver (RLL), left lobe of the liver (LLL), quadrate lobe (QL), and ligamentum teres (LT) can also be seen.

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