A CASE OF DOUBLE GALLBLADDER DIAGNOSED PREOPERATIVELY
The double gallbladder is a rare anomaly. A 69-year-old woman reporting epigastric pain was diagnosed with double gallbadder associated with gallstones in the accessory gallbladder (Y-shaped type, Gross' classification type A) due to endoscopic retrograde cholangiography. Because anomalous arra...
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| Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 63; no. 4; pp. 1000 - 1004 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan Surgical Association
2002
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| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.63.1000 |
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| Abstract | The double gallbladder is a rare anomaly. A 69-year-old woman reporting epigastric pain was diagnosed with double gallbadder associated with gallstones in the accessory gallbladder (Y-shaped type, Gross' classification type A) due to endoscopic retrograde cholangiography. Because anomalous arrangement of the accessory gallbladder, a risk to the liver and bile duct, we conducted a cholecystectomy. We consider preoperative cholangiography useful and essential for double gallbladder diagnosis compared to anomalous gallbladder diverticulum and sand glass type. In conducting safe cholecystectomy, gall bladder carcinoma and gallstones in the accessory gallbladder must be kept in mind. The choice of laparoscopic cholecystectomy is possible for a compatible case of double gallbladder. |
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| AbstractList | The double gallbladder is a rare anomaly. A 69-year-old woman reporting epigastric pain was diagnosed with double gallbadder associated with gallstones in the accessory gallbladder (Y-shaped type, Gross' classification type A) due to endoscopic retrograde cholangiography. Because anomalous arrangement of the accessory gallbladder, a risk to the liver and bile duct, we conducted a cholecystectomy. We consider preoperative cholangiography useful and essential for double gallbladder diagnosis compared to anomalous gallbladder diverticulum and sand glass type. In conducting safe cholecystectomy, gall bladder carcinoma and gallstones in the accessory gallbladder must be kept in mind. The choice of laparoscopic cholecystectomy is possible for a compatible case of double gallbladder. |
| Author | FUNATSUKA, Masahide SATO, Yoshitoshi ONO, Keiji YANO, Seiji |
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| References | 5) 長谷川順一,中尾量保,濱路政靖他:副胆嚢結石症を伴う重複胆嚢の1切除例.日臨外医会誌 55: 996-1001, 1994 7) 片桐義文,尾関 豊,立山健一郎他:腹腔鏡下胆嚢摘出術を施行した胆石合併重複胆嚢の1例.胆と膵 17: 1137-1139, 1996 3) 久次武晴:肝外胆道走行異常と外科.第22回日本胆道外科研究会アンケート調査報告: 1-8, 1993 14) 山本貞博,小池明彦,竹重言人:乳頭状腺癌を合併した重複胆嚢の1例.双葉発生論との関連.愛知医大医会誌 7: 263-268, 1979 17) 出月康夫,桜井健司,山川達郎他:腹腔鏡下胆嚢摘出術.外科治療 33: 953-1012, 1991 15) 鎌田 徹,石田哲也,菅原正都他:重複胆嚢より発生したと思われる胆嚢扁平上皮癌の1例.日消病会誌 82: 1620, 1985 4) Gross RE: Congenital anomalies of the gallbladder. A review of one hundred and forty-eight cases, with report of a double gallbladder. Arch Surg 32: 131-162, 1936 6) 田中清十郎:重複胆嚢に就いて.実地医家と臨 15: 52-58, 1938 16) 久留宮隆,田岡大樹,太田正隆:重複胆嚢に癌の発生をみた1手術.日消外会誌 19: 428, 1986 2) 中山文夫:胆嚢の形成異常.胃と腸 20: 381-384, 1985 13) 伊勢秀雄,森安章人,松野正紀:胆石症の成因,分類の治療法の変遷.外科治療 74: 407-414, 1996 8) 堂脇昌一,大谷泰雄,津久井優他:術前ERCPにより腹腔鏡下胆嚢摘出術が安全に施行できた重複胆嚢の1例.日臨外医会誌 58: 313, 1997 9) 井上 健,熊谷 元,片山 暁他:腹腔鏡下胆嚢摘出術を施行した重複胆嚢の1例.外科 60: 1093-1095, 1998 1) Boyden EA: The accessory gallbladder. An embryological and comparative study of aberrant biliary vesicles occuring in man and the domestic mammals. Am J Ant: 18: 177-231, 1926 18) 宮島伸宣,加納宣康,石川康郎他:重複胆嚢に対する腹腔鏡下胆嚢摘出術の1例.手術 48: 1895-1898,1994 11) 橋爪泰夫,長利あゆみ,飯田茂穂他:スパイラルCTが診断に有用であった重複胆嚢に対する腹腔鏡下胆嚢摘出術の1例.臨外 52: 549-552, 1997 12) Knight M: Anomalies of the gallbladder bile duct and arteries. In: Surgery of the Gall Bladder and Bile Duct (ed by Sherlock DC), Butterworths, London, 1981, p97-116 10) 山本三郎,会沢 禎,立花明久:いわゆる三重複胆嚢の1症例.外科診療 9: 1711-1713, 1967 |
| References_xml | – reference: 3) 久次武晴:肝外胆道走行異常と外科.第22回日本胆道外科研究会アンケート調査報告: 1-8, 1993 – reference: 14) 山本貞博,小池明彦,竹重言人:乳頭状腺癌を合併した重複胆嚢の1例.双葉発生論との関連.愛知医大医会誌 7: 263-268, 1979 – reference: 16) 久留宮隆,田岡大樹,太田正隆:重複胆嚢に癌の発生をみた1手術.日消外会誌 19: 428, 1986 – reference: 9) 井上 健,熊谷 元,片山 暁他:腹腔鏡下胆嚢摘出術を施行した重複胆嚢の1例.外科 60: 1093-1095, 1998 – reference: 11) 橋爪泰夫,長利あゆみ,飯田茂穂他:スパイラルCTが診断に有用であった重複胆嚢に対する腹腔鏡下胆嚢摘出術の1例.臨外 52: 549-552, 1997 – reference: 10) 山本三郎,会沢 禎,立花明久:いわゆる三重複胆嚢の1症例.外科診療 9: 1711-1713, 1967 – reference: 15) 鎌田 徹,石田哲也,菅原正都他:重複胆嚢より発生したと思われる胆嚢扁平上皮癌の1例.日消病会誌 82: 1620, 1985 – reference: 17) 出月康夫,桜井健司,山川達郎他:腹腔鏡下胆嚢摘出術.外科治療 33: 953-1012, 1991 – reference: 12) Knight M: Anomalies of the gallbladder bile duct and arteries. In: Surgery of the Gall Bladder and Bile Duct (ed by Sherlock DC), Butterworths, London, 1981, p97-116 – reference: 13) 伊勢秀雄,森安章人,松野正紀:胆石症の成因,分類の治療法の変遷.外科治療 74: 407-414, 1996 – reference: 1) Boyden EA: The accessory gallbladder. An embryological and comparative study of aberrant biliary vesicles occuring in man and the domestic mammals. Am J Ant: 18: 177-231, 1926 – reference: 6) 田中清十郎:重複胆嚢に就いて.実地医家と臨 15: 52-58, 1938 – reference: 18) 宮島伸宣,加納宣康,石川康郎他:重複胆嚢に対する腹腔鏡下胆嚢摘出術の1例.手術 48: 1895-1898,1994 – reference: 7) 片桐義文,尾関 豊,立山健一郎他:腹腔鏡下胆嚢摘出術を施行した胆石合併重複胆嚢の1例.胆と膵 17: 1137-1139, 1996 – reference: 2) 中山文夫:胆嚢の形成異常.胃と腸 20: 381-384, 1985 – reference: 5) 長谷川順一,中尾量保,濱路政靖他:副胆嚢結石症を伴う重複胆嚢の1切除例.日臨外医会誌 55: 996-1001, 1994 – reference: 8) 堂脇昌一,大谷泰雄,津久井優他:術前ERCPにより腹腔鏡下胆嚢摘出術が安全に施行できた重複胆嚢の1例.日臨外医会誌 58: 313, 1997 – reference: 4) Gross RE: Congenital anomalies of the gallbladder. A review of one hundred and forty-eight cases, with report of a double gallbladder. Arch Surg 32: 131-162, 1936 |
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