PMC2631532_01
a - Small, contracted second gallbladder lying on omentum. Omental adhesions to the gallbladder released. b - Cystic duct of second gallbladder with three endoclips, the cystic duct is clearly demonstrated to enter the common bile duct. c - Cystic duct divided between endoclips and cystic artery clipped.
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F1
The intraoperative findings were extensive intraabdominal adhesions and thick omental adhesions to the previous gallbladder bed; the second gallbladder was totally hidden to our own eyes, it was wrapped in omentum (figure 1a) and laying on the transverse colon. Its cystic duct (figure 1b) entered the common bile duct at lower level then usual and there were several small inflamed lymph nodes along its cystic artery (figure 1c).