Abstract

PEREZ GONZALEZ, Domingo; SCORZA SANCHEZ, Carlos; DE LEON RUBIO, Nancy  and  HERNANDEZ MULET, Hermidio. Single lithiasis in double gallblader treated with extracorporeal shock waves. Rev Cubana Cir [online]. 2004, vol.43, n.2, pp. 0-0. ISSN 1561-2945.

Double gall bladder is an uncommon congenital abnormality. It may be diagnosed by ultrasound and cholecystography. It is reported the case of a 27-year-old patient with history of intolerance to fats and repeated biliary cholics, with duplicated gallbladder externally fused, and two independent cystic ducts flowing to the hepatocholedoco with a single calculus of 12 mm of diameter, retrotransparent and 0 Houndfield units, located in the neck of the more developed gallbladder. 2 259 extracorporeal shock waves of 20.4 kilovolts generated by the electromagnetic principle were applied in a lithotripsy session. The complete fragmentation of the calculus was stopped. The treatment was ambulatory. The patient reincorporated to her working life at 24 hours. During the expulsion of the fragments, she had several pain crises that were resolved with oral analgesics. Six months later, the affected gallbladder was free of fragments. There has been no complication and she is asymptomatic so far

Keywords : Double gallbladder; extracorporeal lithotripsy; biliary lithiasis.