Sonographic detection of duplication of gall bladder

with cholelithiasis in a 35 years male – a rare mal

formation

Sharmin RA, Sultana T, Begum R, Biswas SK, Rahman F, Afrin R,

Hossain S, Hossain M, Akhter A, Biswas T, Sharmin S, Islam S, Haque JA

Institute of Nuclear Medicine & Allied Sciences

(INMAS), Dhaka, Bangladesh

Corresponding Author: Dr. Rahima Akter Sharmin

Email: shila_rain@yahoo.com

Introduction

Gall bladder duplication is a rare congenital malformation occurring in

about one per 3000-4000 literature. Anatomic variation of duplication of
gall bladder is classified according to Boyden's classification. Duplication
of the gall bladder can either be asymptomatic or can present with
symptoms associated with cholelithiasis, cholecystitis, cholangitis, or
pancreatitis. It is clinically indistinguishable from regular gall bladder
pathologies.

Case Presentation

A 35-year-old male was admitted to the hospital with upper abdominal

pain and raised inflammatory marks. An Ultrasound of the patient's
abdomen revealed the duplication of the gall bladder, where one was filled
with gallstones and the other one was intact. Also, each of the separated
cystic duct and drainage into the common bile duct could be seen.
Computer tomography clearly showed the true duplication of the gall
bladder.

Conclusion

Pre-operative identification by ultrasound of such anomaly and their

various types is very important. Ultrasound is a non-invasive, non-ionizing
radiation, relatively cheap and painless since it can avoid damage to
possible vascular and biliary aberrant anatomy during surgery. For
cholelithiasis, surgery is required, and the surgeon must be aware of any
associated biliary anomaly.