Abstract The bilobed gallbladder, or vesica fellea divisa, is an extremely rare congenital anomaly in man. This malformation is represented by a structure having two separate fundic cavities, united at their bases and joined to the ductus choledochus by a single cystic duct. It is differentiated from the double, or accessory, gallbladder, called vesica fellea duplex, by the presence of independent cystic ducts, draining the individual fundic cavities of the latter type. Two distinct anatomical configurations of the bilobed gallbladder have been described. The first is that in which the body of the organ is completely or partially separated into two lobes by a deep cleft, resulting in a Y- or T-shaped viscus. The second form has a single fundus, divided into paired mucosal compartments by a longitudinal septum. In either instance the lobes may be of the same or unequal sizes (Fig. 1). Eight proved cases of bilobed gallbladder have References 1. Deaver, J. B., and Ashhurst, A. P. C.: Surgery of the Upper Abdomen , Philadelphia, P. Blakiston's Son & Co., 1914, Vol. 2. 2. Rycroft, B. W.: Bilocular Gall-Bladder , J. Surg. 10:579-580 ( (April) ) 1923. 3. Meyer, A. W.: Doppelte Gallenblase , Deutsche Ztschr. Chir. 211:404-405, 1928.Crossref 4. Phillips, E. W. M. H.; Isaac, D., and MacDonald, J.: Four Biliary Anomalies: A Plea for Cholecyst-Gastrostomy , Brit. M. J. 1:665-666 ( (April 18) ) 1931.Crossref 5. Hilt, L. M.: Bilobed Gall-Bladder (Vesica Fellea Divisa) , Radiology 28:233-234 ( (Feb.) ) 1937.Crossref 6. Stolkind, E.: Double Gall-Bladder: Report of a Case and Review of 38 Cases , Brit. J. Surg. 27:760-766 ( (April) ) 1940.Crossref 7. Guyton, W. L.: Double Gallbladder , Am. J. Surg. 72:118-120 ( (July) ) 1946.Crossref 8. Cruveilhier, E.: Anomalie de la vesicule biliare , Bull. Soc. anat. Paris 35:66, 1860. 9. Ullmann, H. J.: Personal Statement , Radiology 6:295-296 ( (April) ) 1926. 10. Esau, P.: Doppelbildung der Gallenblase durch entzündliche Vorgänge , Zentralbl. Chir. 53:2971-2973, 1926. 11. Stadnizky: Trude Izhevsk med. Inst. , 1936, Vol. 2. 12. Weiss, S.: Diseases of the Liver, Gall Bladder, Ducts and Pancreas , New York, Paul B. Hoeber, Inc., (Medical Book Department of Harper & Bros.) 1935. 13. Galambos, A.: Duodenojejunal Diverticulum with Double Gallbladder Observed in 2 Cases , Rev. Gastroenterol. 20:867-882 ( (Dec.) ) 1953. 14. Corcoran, D. B., and Wallace, K. K.: Congenital Anomalies of the Gallbladder , Am. Surgeon 20:709-725 ( (July) ) 1954. 15. Boyden, E. A.: The Accessory Gall-Bladder: An Embryological and Comparative Study of Aberrant Biliary Vesicles Occurring in Man and the Domestic Animals , Am. J. Anat. 38:177-233 ( (Nov.) ) 1926.Crossref 16. Gross, R. E.: Congenital Anomalies of the Gallbladder:: A Review of 148 Cases, with a Report of a Double Gallbladder , Arch. Surg. 32:131-162 ( (Jan.) ) 1936.Crossref 17. Flannery, M. G., and Caster, M. P.: Congenital Abnormalities of the Gallbladder: 101 Cases , Surg. Gynec. & Obst. 103:439-457 ( (Nov.) ) 1956. 18. Patten, B. M.: Human Embryology , Philadelphia, The Blakiston Company, 1946. 19. Arey, L. B.: Developmental Anatomy: A Textbook and Laboratory Manual of Embryology , Philadelphia, W. B. Saunders Company, 1946. 20. Schachner, A.: Anomalies of the Gallbladder and Bile Passages, with a Report of a Double Gallbladder and a Floating Gallbladder , Ann. Surg. 64:419-431 ( (Oct.) ) 1916. 21. Climan, M.: Duplication of the Gallbladder Demonstrated by Cholecystography , M. J. & Rec. 130:73-74 ( (July 17) ) 1929. 22. Verstandig, C. C., and Moore, D. B.: Double Gall Bladder Demonstrated by Oral Cholecystography , Connecticut M. J. 12:314-315 ( (April) ) 1948.
A.M.A. Archives Surgery – American Medical Association
Published: Jan 1, 1958