RT Journal Article SR Electronic T1 Gallstone pancreatitis after laparoscopic cholecystectomy JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr0820114673 DO 10.1136/bcr.08.2011.4673 VO 2011 A1 Jason M Fitchett A1 Llion l Davies A1 Nagappan Kumar YR 2011 UL http://casereports.bmj.com/content/2011/bcr.08.2011.4673.abstract AB This case report describes the rare presentation of an unknown dumbbell shaped (or hourglass with diaphragmatic membrane) gallbladder presenting as gallstone pancreatitis 5 months after laparoscopic cholecystectomy for cholelithiasis and our management strategy. This case highlights the importance of ensuring adequate exposure at the time of operation to prevent such presentations.