Hourglass Gallbladder Remnant Concomitant with CBD Stone

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4 weeks ago
General Surgery

Case description

Surgical video case: gallbladder anatomy is highly variable, and surgeons must be prepared to identify anomalies of form, number, and position. Variants include gallbladder agenesis, diverticulum, duplication, bilobed, multiseptate, Phrygian cap, ectopic, and hourglass gallbladder. The hourglass gallbladder has been described from the earliest days of cholecystectomy, as Morton described a congenital case in 1908, and Else thoroughly described the acquired and congenital strictures leading to the hourglass deformity in 1914. We describe a case of an hourglass gallbladder remnant concomitant with CBD stone. Unfortunately, the patient had a failed ERCP and we dicided to do relaparoscopy and resecting the galbladder remnant and performing laparoscopic CBD exploration. In this case, after complition of extracting CBD stone, we inserted stent, performing intraoperative endoscopy to conferm the position of stent and we did primery CBD closure over the stent.  

tags: Gallbladder anatomy Hourglass Gallbladder Laparoscopic CBD Exploration primery CBD closure cbd stone CBD stent surgical video case surgical technique surgical education

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