RESUMO
We present an extremely rare combined congenital anomaly consisting of ectopic drainage of the common bile duct in the lesser curvature of the stomach, congenital gastric diverticula, blind antrum with aberrant pyloric opening, and redundant spleen. The diagnosis was made during routine endoscopy in a 35-year-old woman, who presented complaining for regurgitation and retrosternal burning in the last 4 years. To our knowledge this is the first description of this rare combination of congenital anomalies. The possible embryogenetic backgrounds, and the possible clinical significance of this rare condition are discussed.
Assuntos
Anormalidades Múltiplas/diagnóstico , Ampola Hepatopancreática/anormalidades , Divertículo/congênito , Antro Pilórico/anormalidades , Gastropatias/congênito , Adulto , Colangiopancreatografia por Ressonância Magnética , Diagnóstico Diferencial , Divertículo/diagnóstico , Endoscopia Gastrointestinal/métodos , Feminino , Humanos , Gastropatias/diagnósticoRESUMO
Congenital duplication of the gallbladder is a rare anatomical malformation, which is usually discovered as an incidental finding during cholecystectomy. We report a case of a double gallbladder in a 45-year-old woman, which was discovered during laparoscopic cholecystectomy for symptomatic cholelithiasis. As it was not possible to identify the anatomical structures safely, the procedure was converted to open cholecystectomy. Inspection of the resected gallbladder showed that it consisted of 2 chambers with separate cystic ducts, which communicated through an ostium. Both chambers contained multiple gallstones. The inadequate drainage of the second chamber could be considered as a predisposing factor for the development of cholelithiasis in this case.