{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T05:36:35Z","timestamp":1793252195828,"version":"4.5.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Duplication of the gallbladder is a rare congenital malformation associated with the development of cholelithiasis. It increases the risk of iatrogenic bile duct injury during cholecystectomy and can lead to symptom recurrence if missed. Although preoperative imaging is helpful, detection rates are around 50 %.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 36-year-old healthy female with symptomatic gallstone disease and ultrasonographic evidence of cholelithiasis was scheduled for elective laparoscopic cholecystectomy. Following standard four port entry and dissection of pericholecystic adhesions to duodenum, a V shaped duplicated gallbladder with calculi, and a common cystic duct and artery was noted. The cystohepatic triangle was dissected, critical view of safety demonstrated and the common cystic duct and artery were divided between clips.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Variations in gallbladder morphology has been described by Gross, Boyden and Harlaftis classification. Type 1 (bilobed gallbladder) has a common embryological origin with an invaginating septum separating the lumens while type 2 (double gallbladder) has a double embryological origin with separate gallbladders and their own cystic ducts. Many cases go undetected or are mis-identified as choledochal cyst, diverticulum or Phrygian cap. MRCP is the imaging modality of choice for suspected duplicate gallbladder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Careful dissection of the cystohepatic triangle with attention to critical view of safety is important in all cases as numerous variations in hepatobiliary anatomy have been described. Surgical awareness of these variations and good surgical technique will promote safe laparoscopic cholecystectomy even in the most unexpected of encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.110884","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T01:21:08Z","timestamp":1736731268000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Duplication of the gallbladder: An intraoperative finding during laparoscopic cholecystectomy"],"prefix":"10.1097","volume":"127","author":[{"given":"Deshan Mario","family":"Gomez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arulprashanth","family":"Arulnathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmabandhu Nandadeva","family":"Samarasekera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duminda","family":"Subasinghe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"11","key":"R1-72-20260325","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijscr.2015.04.002","article-title":"Gallbladder duplication","volume":"1","author":"Pillay,","year":"2015","journal-title":"Int. J. Surg. Case Rep."},{"key":"R2-72-20260325","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s002610000157","article-title":"Gallbladder duplication: MR cholangiography demonstration","volume":"26","author":"Mazziotti,","year":"2001","journal-title":"Abdom. Imaging"},{"key":"R3-72-20260325","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s002619900496","article-title":"Gallbladder duplication: imaging findings and differential considerations","volume":"24","author":"\u00d6zgen,","year":"1999","journal-title":"Abdom. Imaging"},{"key":"R4-72-20260325","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s00595-008-3878-4","article-title":"Duplicate gallbladder arising from the left hepatic duct: report of a case","volume":"39","author":"Kim,","year":"2009","journal-title":"Surg. Today"},{"key":"R5-72-20260325","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1007\/BF00188459","article-title":"A double or bilobar gallbladder as a cause of severe complications after (laparoscopic) cholecystectomy.","volume":"9","author":"De Leeuw","year":"1995","journal-title":"Surg. Endosc."},{"key":"R6-72-20260325","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/BF00187385","article-title":"Reoperation for a symptomatic double gallbladder.","volume":"10","author":"Silvis","year":"1996","journal-title":"Surg. Endosc."},{"issue":"5","key":"R7-72-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"2","key":"R8-72-20260325","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1002\/aja.1000380202","article-title":"The accessory gall? Bladder? An embryological and comparative study of aberrant biliary vesicles occurring in man and the domestic mammals.","volume":"38","author":"Boyden","year":"1926","journal-title":"Am. J. Anat."},{"issue":"2","key":"R9-72-20260325","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/j.1440-1746.2004.03264.x","article-title":"Double gallbladder","volume":"19","author":"Hishinuma,","year":"2004","journal-title":"J. Gastroenterol. Hepatol."},{"key":"R10-72-20260325","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1001\/archsurg.1936.01180190134008","article-title":"Congenital anormalisen of the gallbladder; a review of one hundred and forty eight cases, with report of a double gallbladder","volume":"32","author":"Re,","year":"1936","journal-title":"Arch. Surg."},{"issue":"6","key":"R11-72-20260325","first-page":"928","article-title":"Multiple gallbladders","volume":"145","author":"Harlaftis,","year":"1977","journal-title":"Surg. Gynecol. Obstet."},{"issue":"21","key":"R12-72-20260325","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ijscr.2016.03.002","article-title":"Successful laparoscopic management of duplicate gallbladder: a case report and review of literature","volume":"1","author":"Al Rawahi,","year":"2016","journal-title":"Int. J. Surg. Case Rep."},{"key":"R13-72-20260325","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s00247-008-1125-1","article-title":"Cholecystitis of a duplicated gallbladder complicated by a cholecystoenteric fistula","volume":"39","author":"Huang,","year":"2009","journal-title":"Pediatr. Radiol."},{"issue":"2","key":"R14-72-20260325","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1089\/lps.1993.3.153","article-title":"Double gallbladder treated successfully by laparoscopy.","volume":"3","author":"GARC\u00cdA","year":"1993","journal-title":"J. Laparoendosc. Surg."},{"issue":"6","key":"R15-72-20260325","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1002\/jcu.1870080612","article-title":"Empyema of a duplicated gallbladder: echographic findings","volume":"8","author":"Cunningham,","year":"1980","journal-title":"J. Clin. Ultrasound"},{"issue":"5","key":"R16-72-20260325","first-page":"239","article-title":"Carcinoma of a duplicated gall bladder.","volume":"110","author":"CB","year":"1956","journal-title":"Ill. Med. J."},{"issue":"2","key":"R17-72-20260325","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1002\/bjs.1800670226","article-title":"Double gallbladder with cholecystocolic fistula: a case report","volume":"67","author":"Ritchie,","year":"1980","journal-title":"Journal of British Surgery."},{"issue":"6","key":"R18-72-20260325","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1016\/0002-9610(71)90063-8","article-title":"Triplication of the gallbladder with cholecystitis, cholelithiasis, and papillary adenocarcinoma","volume":"121","author":"Roeder,","year":"1971","journal-title":"Am. J. Surg."},{"key":"R19-72-20260325","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/BF00187889","article-title":"Experience with laparoscopic double gallbladder removal","volume":"9","author":"Miyajima,","year":"1995","journal-title":"Surg. Endosc."},{"issue":"6","key":"R20-72-20260325","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1097\/01.sle.0000191620.40263.fd","article-title":"Laparoscopic cholecystectomy for a double gallbladder of the duodenal type","volume":"15","author":"Sasaki,","year":"2005","journal-title":"Surg. Laparosc. Endosc. Percutan. Tech."},{"issue":"5","key":"R21-72-20260325","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/00129689-200310000-00012","article-title":"Laparoscopic treatment of a bilobed gallbladder: a case report and review of the literature","volume":"13","author":"Ozmen,","year":"2003","journal-title":"Surg. Laparosc. Endosc. Percutan. Tech."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225000707?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225000707?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.110884","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:24:51Z","timestamp":1774434291000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2025.110884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":21,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.110884","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"2024-12-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}