case_images: PMC7306521_01
case_images: Ultrasonography findings showing two separate gallbladders (Gallbladder A and Gallbladder B) in fossa area.
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case_images: Both gallbladders (A and B) were distended, with a thickened wall and a gallstone impacted in the infundibulum in the first gallbladder and a fundic gallstone in the second one (Fig. 1).
case_images: (a) Computed tomography scan showing lithiasic cholecystitis complicated by abscess in segment VI of the liver. (b) The sagittal 2D reconstruction displaying two gallbladders (A and B) with a common peritoneal coat.
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case_images: An abdominal Computed Tomography was done, confirming the cholecystitis diagnosis and showing also a wall perforation of one of gallbladders with pericholecystic abscess (Fig. 2).
case_images: Magnetic resonance cholangiography: (a) Gallbladder duplication, each with one gallstone and one separately cystic duct. (b) Volume rendering reconstruction showing that these two gallbladders are drained by a common cystic duct (CCD) into a common bile duct (CBD).
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case_images: Furthermore, only one cystic artery was detected (Fig. 3).
case_images: Intraoperative cholangiogram showing that each gallbladder had an independent cystic duct (CD GA: cystic duct of gallbladder A, CD GB : cystic duct of gallbladder B) that joined in a common cystic duct (CCD) before entering into the common bile duct (CBD).
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case_images: This cholangiogram confirmed the presence of a single common cystic duct opening in the common bile duct with retrograde opacification of a separate cystic duct of the second gallbladder (B) (Fig. 4).
case_images: The operative piece of cholecystectomy showing two independent gallbladder in a common peritoneal coat and each with separate infundibulum.
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case_images: After ligature of the two separate cystic ducts a cholecystectomy with complete resection of both gallbladders was done without incident (Fig. 5).