DOI: 10.14260/jemds/2014/1986 CASE REPORT Journal of Evolution of Medical and Dental Sciences/ Volume 3/ Issue 06/February 10, 2014 Page 1320 CASE REPORT - SEPTATE GALL BLADDER Ankur Prakash 1 , R. C. Jain 2 , V. K. Singh 3 , Mayank Mathur 4 HOW TO CITE THIS ARTICLE: Ankur Prakash, R.C. Jain, V.K. Singh, Mayank Mathur. “Case Report- Septate Gall Bladder”. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 06, February 10; Page: 1320-1322, DOI: 10.14260/jemds/2014/1986 ABSTRACT: The anatomy facing a surgeon during cholecystectomy is challenging as it involves complex relationship between the gallbladder, hepatic artery and extra-hepatic biliary tree. We report a case of septate gall bladder which was successfully treated with laparoscopic cholecystectomy. Lack of awareness, non-specific symptoms, signs and inadequacy of imaging methods are possible reasons for the reported problem of overlooking of this entity. Complete identification and removal of gallbladder is mandatory, as a remnant may result in recurrence of symptoms or stones. KEYWORDS: Gallbladder anomalies, laparoscopic treatment, septate gallbladder. INTRODUCTION: Congenital anomalies of the gallbladder are rare and wide ranges of malformations pertaining to all aspects have been described. 1 Septate gallbladder has not been well documented because it is usually asymptomatic or discovered accidentally during the evaluation of abdominal pain. 1 Rarely due to septation there may be stone formation, which might lead to recurrent abdominal pain. 2 We report a case of septate gallbladder that underwent successful laparoscopic cholecystectomy (LC). This case illustrates the need for complete removal of gallbladder during surgery. Precise intraoperative recognition of vascular and biliary anatomy is necessary to avoid common bile duct (CBD) injuries and gallbladder remnants. CASE REPORT: A 44-year-old female patient was admitted to our hospital with a right upper quadrant pain recurring for the past 2 months. There was a history of postprandial fullness and belching. There was no history of jaundice in past. His blood values were within normal range. Ultrasound (US) of upper abdomen showed the gallbladder filled with multiple calculi. Laparoscopic Cholecystectomy was planned. At laparoscopy, flimsy adhesions were identified at the fundus of the gallbladder. After retracting the fundus towards the ipsilateral shoulder dense adhesions were present at the body of the gallbladder. After completing adhesiolysis with blunt and sharp dissection, Calot's triangle was identified. Cystic artery and Cystic duct were clipped and divided. Laparoscopic cholecystectomy was successfully completed without any complication. The postoperative period was uneventful and the patient was discharged on the second postoperative day. On follow-up appointments, patient was in good condition.