Abstract
The septate gallbladder is a rare congenital malformation. It is considered a risk factor of complications after laparoscopic cholecystectomy. We are reporting an image in surgery of a septate gallbladder. It was discovered at an adult age. We are showing the difficulty of the diagnosis preoperatively on the radiological find.
Keywords: congenital malformation, gallbladder duplication, septate gallbladder
Septate gallbladder is a rare congenital malformation, characterized by the presence of a septum that divides the gallbladder lumen into two compartments. This anomaly is considered a pseudo‐duplication of the gallbladder. It is associated with an increased risk of complication during cholecystectomy.
1. CASE PRESENTATION
A 55‐year‐old man with no medical history complained about intermittent right upper quadrant abdominal pain. The physical examination and laboratory tests were normal.
Abdominal ultrasound showed a gallbladder with normal wall thickness and multiple gallstones associated with a saccular structure beside it.
A magnetic resonance cholangiopancreatography showed two gallbladders drained by a single cystic duct. (Figure 1).
FIGURE 1.
MRI showing two gallbladders with a single cystic duct
The surgery was performed laparoscopically. Intraoperative findings showed the presence of a single‐bilobed gallbladder drained by a single cystic duct. Cholecystectomy was performed.
The examination of the specimen showed a transverse septum dividing the gallbladder into two compartments. (Figure 2).
FIGURE 2.
Transverse septum of the gallbladder
Which diagnosis would you have determined?
1: accessory gallbladder
2: septate gallbladder
3: diverticulum of the gallbladder
4: extrahepatic choledochal cyst
The correct answer is 2.
Septate gallbladder is a congenital malformation, characterized by the presence of a septum that divides the gallbladder into two compartments. 1 According to Boyden classification, there are two main types of congenital malformation, septate gallbladder and true duplication. 2
Septate gallbladder is usually asymptomatic. 3
It is fundamental to recognize the anatomical variation of the gallbladder to reduce the risk of iatrogenic bile duct injury during cholecystectomy. 4 , 5
CONFLICT OF INTEREST
None declared conflict of interest.
AUTHOR CONTRIBUTIONS
Debaibi Mehdi conceived the idea for the document and contributed to the writing and editing of the manuscript. Sghair Asma contributed to the writing and editing of the manuscript. Sridi Azza reviewed and edited the manuscript. Chouchen Adnen contributed to the manuscript writing, editing, and review of the manuscript. All authors read and approved the final manuscript.
ETHICAL APPROVAL
Personal data have been respected.
CONSENT
Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.
Debaibi M, Sghair A, Sridi A, Chouchen A. Septate gallbladder: A rare congenital anomaly. Clin Case Rep. 2022;10:e05666. doi: 10.1002/ccr3.5666
Funding information
The authors have received no funding for this study
DATA AVAILABILITY STATEMENT
Personal data of the patient were respected; no data are available for this submission.
REFERENCES
- 1. Al‐Salem AH, Issa H, Naserullah Z. Septate gallbladder: a report of two cases. Ann Saudi Med. 2002;22(5–6):351‐353. [DOI] [PubMed] [Google Scholar]
- 2. Perez AR, Magcase M, Perez MEC. Gallbladder duplication complicated by cholecystitis and unsuspected choledocholithiasis: a case report and review of literature. Int J Surg Case Rep. 2021;87:106433. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Patel N, Joshipura V, Haribhakti S, Soni H. Septate gallbladder in the laparoscopic era. J Minimal Access Surg. 2008;4(1):20. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Borghi F, Giraudo G, Geretto P, Ghezzo L. Perforation of missed double gallbladder after primary laparoscopic cholecystectomy: endoscopic and laparoscopic management. J Laparoendosc Adv Surg Tech A. 2008;18(3):429‐431. [DOI] [PubMed] [Google Scholar]
- 5. Terkawi RS, Qutob D, Hendaus MA. Understanding multiseptated gallbladder: a systematic analysis with a case report. JGH Open. 2021;5(9):988‐996. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
Personal data of the patient were respected; no data are available for this submission.