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According to a growing number of case reports, cholecystectomy in the setting of gallbladder duplication
[9]
may be challenging but is possible by laparoscopic approach [17-19] . Maddox and Demers suggest

identification of each infundibulum-cystic duct junction to permit safe laparoscopic removal.In this case,
we also utilized a top-down technique via laparoscopy to verify the anatomy and safely remove both
gallbladders. Laparoscopic visualization was helpful in recognizing the anatomy.

If gallbladder duplication is missed by preoperative and intraoperative assessments, persistent or future
biliary symptoms are possible. In this setting, a high degree of suspicion for persistent duplicated
gallbladder must be considered.

In conclusion, duplicated gallbladder is a rare anatomical finding that may be associated with cholelithiasis
and cholecystitis. In this case, a combination of radiographic, endoscopic and laparoscopic procedures was
utilized to resolve the patient’s persistent right upper quadrant pain and jaundice.

DECLARATIONS
Authors’ contributions
Literature review: Ghaderi I, Flanagan E, Bhansali S, Farrell TM
Creation of manuscript: Ghaderi I, Flanagan E, Bhansali S, Farrell TM
Video creation: Ghaderi I

Financial support and sponsorship
Dr. Ghaderi’s fellowship training was supported by the Foundation for Surgical Fellowships.

Conflicts of interest
The video was presented at American College of Surgeon Clinical Congress, Washington DC, October
2013. The authors declare that there are no conflicts of interest.

Patient consent
The report was done with patient consent.

Ethics approval
No ethics approval was needed.

Copyright
© The Author(s) 2018.

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