Abstract
Objectives: To present a patient with anatomic variation in the gallbladder type vesica fellea divisa, which, although congenital, was only evidenced in the fourth decade of life after a symptomatic triggering factor. Case Report: A 41-year-old male patient reported diffuse mild pain in right hypochondrium relieved with pain relieving medications. He denied any symptoms of cholestasis. He referred to the onset of the symptom two years ago, when he presented a pain episode of greater intensity and with irradiation to the chest, requiring hospitalization for four days. With the exception of right hypochondrium pain on deep palpation, the physical examination showed no changes. Ultrasound performed suggested bilobular gallbladder with multiple gallstones in its interior. Final considerations: The clinical importance of the case is associated with the development of cholelithiasis, since the anatomical condition promotes an inadequate drainage of bile and also with a greater risk of perioperative complications, being this condition considered one of the most associated to the iatrogenic injury of the bile duct during cholecystectomy. It is concluded that the most effective conduct after its identification is the total removal of the organ, in order to avoid reoperations, due to the bad prognosis coming from the anomaly.