Case Reports
doi: 10.25005/2074-0581-2022-24-1-140-146
THE DIAGNOSTIC CHALLENGES PRESENTED BY PATIENT WITH DUPLICATION OF GALLBLADDER WITH THE DISTAL COMMON BILE DUCT STRICTURE

A.M. Sharipov1, Kh.A. Shamszoda2, S.A. Mazabshoev2, U.L. Umarov2

1Department of Pediatric Surgery, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2National Medical Center of the Republic of Tajikistan «Shifobakhsh», Dushanbe, Republic of Tajikistan

Objective: Gallbladder duplication is a congenital malformation, is rarely recognized in childhood and occurs in 1 in 4,000 live births. Often, abnormalities in the development of the biliary tract are detected on abdominal imaging or accidentally during surgery in adult patients for an unrelated condition. In this article, the authors describe the complexity of diagnosing a combination of duplication of the gallbladder and stricture of the common bile duct in a 14-year-old child and analyze the diagnostic and tactical errors in the surgical treatment that resulted in the failure to timely diagnose the stricture of the common bile duct. In our opinion, timely diagnosis and proper surgical technique in combined hepatobiliary disorders in children are difficult, even for experienced professionals. However, adequate clinical manifestations assessment, considering an alternative explanation for the presenting symptoms, and timely correction of management errors in the preoperative period could lead to better treatment outcomes.

Keywords: Hepatobiliary system, congenital anomalies, gallbladder duplication, stricture of the common bile duct, pediatric.

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References
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Authors' information:

Sharipov Aslamkhon Makhmudovich
Doctor of Medical Sciences, Head of the Department of Pediatric Surgery, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-3534-9208
SPIN-код: 3072-5037
E-mail: aslam72@list.ru

Shamszoda Khizmatullo Amirkhon
Candidate of Medical Sciences, Director of the National Medical Center of the Republic of Tajikistan «Shifobakhsh»
E-mail: samszodaha@mail.ru

Mazabshoev Salomatsho Aslishoevich
Candidate of Medical Sciences, Anesthesiologist, National Medical Center of the Republic of Tajikistan «Shifobakhsh»
E-mail: samikdoctor@mail.ru

Umarov Umed Lolakhonovich
Resident at the Department of Thoracoabdominal Surgery, National Medical Center of the Republic of Tajikistan «Shifobakhsh»
E-mail: umed61@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Sharipov Aslamkhon Makhmudovich Doctor of Medical Sciences, Head of the Department of Pediatric Surgery, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (907) 708250

E-mail: aslam72@list.ru

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