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This video shows a Double Gallbladder, a rare congenital anomaly. Gallbladder duplication is a rare congenital malformation, that occurs in about one in 3800–4000 births. Congenital anomalies of the gallbladder and anatomical variations of their positions are associated with an increased risk of complications after laparoscopic cholecystectomy. A normal Gallbladder should be thin-walled ( less than 3mm) and anechoic. It is a pear-shaped saccular structure for bile storage in the Right Upper Quadrant. Its size varies depending on the amount of bile. Fasted it will be approximately 10cm long. Abdominal ultrasound: This is often the first test done to evaluate for cholecystitis. Ultrasound uses sound waves to produce pictures of the gallbladder and the bile ducts. It is used to identify signs of inflammation involving the gallbladder and is very good at showing gallstones. Septate gallbladder is characterized by the presence of a septum that divides the gallbladder in two chambers. The gallbladder varies in size, shape, and position between different people. Rarely, two or even three gallbladders may coexist, either as separate bladders draining into the cystic duct, or sharing a common branch that drains into the cystic duct. Gallbladder agenesis without biliary atresia is an extremely rare embryonic aberration. Patients become symptomatic in 23% of cases, and gallbladder agenesis will almost always be misinterpreted as cholecystitis with cystic duct obstruction or as a sclero-atrophic gallbladder. A Phrygian cap is a congenital anomaly of the gallbladder with an incidence of 4%. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. A Phrygian cap, however, has no pathological significance and normally causes no symptoms. The best diagnostic test to confirm gallbladder disease is an abdominal ultrasound. It is noninvasive and is 90% to 95% accurate in detecting gallstones. A contracted gallbladder doesn't always cause symptoms. But in some cases, you might notice a sharp pain in your upper right abdomen or right below your chest. pain in your upper middle back or right shoulder. First signs of a bad gallbladder Symptoms Sudden and rapidly intensifying pain in the upper right portion of your abdomen. Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone. Back pain between your shoulder blades. Pain in your right shoulder. Nausea or vomiting. Why Does Your Gallbladder Need To Be Removed? Indigestion, with bloating, heartburn, and gas. Sharp pain in your belly. Nausea and vomiting. Fever. Yellowing of the skin and the whites of the eyes (jaundice). Traditional surgery tends to come with a more difficult and painful recovery. For most people, weight loss after gallbladder surgery is a temporary issue. Once the body has adjusted — usually within a few weeks — weight loss will typically slow down or stop.