Laparoscopic treatment of gall bladder duplication

True gall bladder duplication having separate cystic duct insertions into the common hepatic duct [CHD] is an extremely rare anomaly. Frequently the diagnosis is not made preoperatively. There have been many case reports of the second gall bladder being missed at laparoscopic cholecystectomy and subsequently requiring a second cholecystectomy later. Moreover, it is challenging to delineate the altered anatomy in order to avoid CHD injury. We report a case of true duplication of the gall bladder successfully managed laparoscopically. The limitations of diagnostic modalities and current strategy of management are discussed