SEFA SAĞ, HATİCE SONAY YALÇIN CÖMERT, MUSTAFA İMAMOĞLU

Gallbladder Duplication in Two Cases

Gallbladder duplication is very rare congenital malformation that is usually asymptomatic, but which may present with various complications. We present here two cases gallbladder duplication who presented with cholestatic hepatitis-acute abdomen in early childhood and treated with surgery, and the second one was asymptomatic during the follow-up who were detected in intrauterine period. The treatment of gallbladder duplication must be carefully managed. Unnecessary surgery should be avoided in asymptomatic cases, while in symptomatic patients requiring surgery it is important to clearly reveal the biliary system and vascular anatomy and to remove both gallbladders.

İki Olguda Safra Kesesi Duplikasyonu

Safra kesesi duplikasyonları genellikle asemptomatik olan ancak neden olduğu çeşitli komplikasyonlarla da tanı konulabilen çok nadir görülen konjenital malformasyonlardır. Bu yazıda erken çocukluk döneminde kolestatik hepatit-akut karın bulguları ile başvuran ve cerrahi müdahale ile tedavi edilen ve intrauterin dönemde saptanan, izlem sırasında asemptomatik olan iki safra kesesi duplikasyonlu olgu sunulmaktadır. Safra kesesi duplikasyonunun izlem ve tedavisi dikkatli bir şekilde yapılmalıdır. Asemptomatik olgularda gereksiz ameliyatlardan kaçınılmalı, cerrahi müdahale gerektiren semptomatik olgularda ise biliyer sistem ve vasküler anatomi net şekilde ortaya konulmalı ve operasyon sırasında her iki safra kesesi birden çıkarılmalıdır.

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