Anat Cell Biol.  2018 Sep;51(3):209-211. 10.5115/acb.2018.51.3.209.

Double pouched, sigmoid gallbladder that can cause a diagnostic dilemma to radiologists: a case report

• Nayak SB
• Aithal AP
• Padavinangadi A
• Prabhu G

• KMID: 2447015
• DOI: http://doi.org/10.5115/acb.2018.51.3.209

Abstract

Gallbladder shows frequent variations in position, shape, interior, and its duct system. These variations may go unnoticed lifelong; however, they may predispose it for cholecystitis and cholelithiasis. We observed a double pouched gallbladder in an adult male cadaver. The gallbladder was folded to have a sigmoid shape. It had two broad pouches: anterior and posterior and a narrow isthmus in between. Its anterior pouch was covered by peritoneum, whereas the posterior pouch was covered by extrahepatic connective tissue. We discuss the clinical and radiological importance of the case.

Keyword

Gallbladder; Hepatic; Laparoscopy; Cholecystectomy; Cholelithiasis

MeSH Terms

Adult
Cadaver
Cholecystectomy
Cholecystitis
Cholelithiasis
Colon, Sigmoid*
Connective Tissue
Gallbladder*
Humans
Laparoscopy
Male
Peritoneum

Figure

• 

  Fig. 1 Photograph of postero-inferior aspect of liver showing the double pouched, folded gallbladder. CL, caudate lobe; GB, gallbladder; IVC, inferior vena cava; LL, left lobe; PFGB, posterior fossa for gallbladder; QL, quadrate lobe.

• 

  Fig. 2 Photograph of a closer view of the double pouched, folded gallbladder after unfolding it. AP, anterior pouch of gallbladder; BD, bile duct; C, middle constricted part (isthmus); CD, cystic duct; CL, caudate lobe; IVC, inferior vena cava; LL, left lobe; PFGB, posterior fossa for gallbladder; PP, posterior pouch of gallbladder; QL, quadrate lobe.

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