A rare case of bilobed gallbladder presenting as cholelithiasis and choledocholithiasis
V Dwarakanath Reddy, S Divya Kiran, Sanjana Gopal, PRVamsi Krishna, S Thirunavukkarasu, Gurudutt P Varty, R Rakesh, C Manoj Krishna, C Tejaswini Reddy.
Bilobed gallbladder is extremely rare. It is important to identify this anomaly preoperatively to avoid intraoperative complications. Authors in this report describe successful surgical management of a patient with bilobed gall bladder with cholelithiasis and choledocholithiasis. A middle aged female who has presented with right upper quadrant abdominal pain and features of obstructive jaundice. Pre-operative ultrasonogram revealed bilobed gallbladder with cholelithiasis and dilated common bile duct (CBD) secondary to CBD stones. These findings were confirmed by magnetic resonance cholangiopancreatography (MRCP). This case was successfully managed by open procedure after attempted endoscopic retrograde cholangiopancreatography (ERCP) failed. Simultaneous removal of both lobes of gallbladder and addressing CBD stones is extremely important to prevent the recurrence of cholelithiasis and choledocholithiasis in these cases.
Key words: Bilobed gall bladder, Duplex gall bladder, Cholelithiasis, Choledocholithiasis, CBD stones, Gall stones, congenital anomalies of gall bladder