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

  • 1Department of Anatomy, Melaka Manipal Medical College, Manipal University, Manipal, Karnataka, India.


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.


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

MeSH Terms

Cystic Duct


  • 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.

Cited by  2 articles

Anomalous peritoneal band connecting greater omentum to the ascending colon: a possible cause for dilation of ascending colon
Satheesha B. Nayak, K.V. Soumya
Anat Cell Biol. 2020;53(3):372-375.    doi: 10.5115/acb.20.082.

Double pouched, sigmoid gallbladder that can cause a diagnostic dilemma to radiologists: a case report
Satheesha B. Nayak, Ashwini P. Aithal, Abhinitha Padavinangadi, Gayathri Prabhu
Anat Cell Biol. 2018;51(3):209-211.    doi: 10.5115/acb.2018.51.3.209.


1. Gross RE. Congenital anomalies of the gallbladder: a review of one hundred and forty-eight cases, with report of double gallbladder. Arch Surg. 1936; 32:131–162.
2. Boyden EA. The accessory gall-bladder: an embryological and comparative study of aberrant biliary vesicles occurring in man and domestic mammals. Am J Anat. 1926; 38:177–231.
3. Silvis R, van Wieringen AJ, van der Werken CH. Reoperation for a symptomatic double gallbladder. Surg Endosc. 1996; 10:336–337.
4. Mazziotti S, Minutoli F, Blandino A, Vinci S, Salamone I, Gaeta M. Gallbladder duplication: MR cholangiography demonstration. Abdom Imaging. 2001; 26:287–289.
5. Skandalakis JE, Colborn GL, Weidman TA, Foster RS Jr, Kingsnorth AN, Skandalakis LJ, Skandalakis PN, Mirilas PS. Surgical anatomy: the embryologic and anatomic basis of modern surgery. Thessaloniki: PMP;2004. Vol. 2:p. 1098–1102.
6. Pamidi N, Nayak S, Vollala VR. Cystogastrocolic fold and associated atrophy of the gallbladder. Singapore Med J. 2008; 49:e250–e251.
7. Nayak SB. Abnormal peritoneal fold connecting the greater omentum with the liver, gallbladder, right kidney and lesser omentum. Bratisl Lek Listy. 2009; 110:736–737.
8. Sangeeta M, Raja P, Venkateshu KV, Sridevi NS, Sanikop MB. Double gall bladder: a case report. Embryological basis and clinical implications. Anat Karnataka. 2010; 4:71–73.
9. Vijayaraghavan R, Belagavi CS. Double gallbladder with different disease entities: a case report. J Minim Access Surg. 2006; 2:23–26.
10. Pasha MK. Double gallbladder and its laparoscopic managenment. Nishtar Med J. 2009; 1:48–49.
Full Text Links
  • ACB
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: