Background: Double gallbladder is a rare biliary anomaly. Perinatal diagnosis of the disorder has been reported in only 6 cases, and in 5 of them the diagnosis was based on ultrasound imaging only. However, the ultrasound technique alone does not provide a sufficiently precise description of cystic ducts and biliary anatomy, an information that is crucial for a correct classification and for a possible future surgery. Case presentation: At 21 weeks of gestational age of an uneventful pregnancy in a 38 year old primipara mother, a routine ultrasound screening detected a biliary anomaly in the fetus suggestive of a double gallbladder. A neonatal abdominal ultrasonography performed on postnatal day 2 confirmed the diagnosis. On day 12 the newborn underwent a Magnetic Resonance Cholangiopancreatography (MRCP) that clearly characterized the anatomy of the anomaly: both gallbladders had their own cystic duct and both had a separate insertion in the main biliary duct. Conclusions: We report a case of early prenatal suspected duplicate gallbladder that was confirmed by a neonatal precise diagnosis of a Type 2, H or ductular duplicate gallbladder, using for the first time 3D images of Magnetic resonance cholangiopancreatography in a newborn. An accurate anatomical diagnosis is mandatory in patients undergoing a possible future cholecystectomy, to avoid surgical complications or reoperations. Therefore, in case of a perinatal suspicion of a double gallbladder, neonates should undergo a Magnetic resonance cholangiopancreatography.A review of the Literature about this variant is included.
Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder / U. Maggi, G. Farris, A. Carnevali, I. Borzani, P. Clerici, M. Agosti, G. Rossi, E. Leva. - In: BMC PEDIATRICS. - ISSN 1471-2431. - 18:1(2018 Feb 07).
|Titolo:||Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder|
ROSSI, GIORGIO ETTORE (Penultimo)
|Parole Chiave:||cholangiopancreatography; magnetic resonance; boyden classification; fetal sonography; gallbladder duplication; h-type cystic duct duplication; mrcp; gallbladder/abnormalities; gallbladder/diagnostic imaging; ultrasonography; prenatal; infant; newborn; pregnancy|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||7-feb-2018|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1186/s12887-018-1043-9|
|Appare nelle tipologie:||01 - Articolo su periodico|
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