Suman Shaw1, Narayan Pandit2
A 38-year-old male was referred to our department with chief complaint of
recurrent right upper quadrant pain associated with nausea, vomiting and
occasional fever for last 2 months. Physical examination showed tenderness in
right upper quadrant of abdomen. Laboratory investigation showed elevated
leukocyte count (total and differential) and C-reactive protein (CRP). Mild elevation
of liver enzymes like total bilirubin, transaminase and alkaline phosphatase was
seen. Ultrasonography showed distended gallbladder along with a cystic structure
adjacent to it. Cystic structure was filled with echogenic material. With this
ultrasonography findings, we suspect duplication of gallbladder or choledochal
cyst. Computed tomography (CT) scan revealed two gallbladder-like structures
adjacent to each other in gallbladder fossa. Next magnetic resonance
cholangiopancreatography (MRCP) was done which revealed a complete
gallbladder duplication with separate cystic duct draining into a common hepatic
duct i.e., H type duplication of gallbladder in Boyden’s classification. In our case
complete gallbladder duplication occurred with separate cystic duct draining into
a common hepatic duct suggestive of H type duplication of gallbladder.
