Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report

Abstract Background Left-sided gallbladder is a relatively rare anatomical variation that is frequently associated with a biliary system anomaly. Here, we describe a case of left-sided gallbladder with acute cholecystitis treated by laparoscopic cholecystectomy. Case presentation An 86-year-old man...

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Main Authors: Ryosuke Hirohata, Tomoyuki Abe, Hironobu Amano, Tsuyoshi Kobayashi, Masahiro Nakahara, Hideki Ohdan, Toshio Noriyuki
Format: Article
Language:English
Published: SpringerOpen 2019-04-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-019-0614-9
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author Ryosuke Hirohata
Tomoyuki Abe
Hironobu Amano
Tsuyoshi Kobayashi
Masahiro Nakahara
Hideki Ohdan
Toshio Noriyuki
author_facet Ryosuke Hirohata
Tomoyuki Abe
Hironobu Amano
Tsuyoshi Kobayashi
Masahiro Nakahara
Hideki Ohdan
Toshio Noriyuki
author_sort Ryosuke Hirohata
collection DOAJ
description Abstract Background Left-sided gallbladder is a relatively rare anatomical variation that is frequently associated with a biliary system anomaly. Here, we describe a case of left-sided gallbladder with acute cholecystitis treated by laparoscopic cholecystectomy. Case presentation An 86-year-old man with acute upper abdominal pain was admitted to our hospital. Computed tomography demonstrated that the gallbladder was centrally dislocated and the wall enhancement was discontinued. Magnetic resonance cholangiopancreatography showed that the gallbladder wall was thickened and abnormally swollen. A laparoscopic cholecystectomy was performed. The round ligament was attached to the right side of the gallbladder, and the left-sided gallbladder was diagnosed by intraoperative findings. The patient was discharged 5 days after surgery without postoperative complications. Conclusions A flexible and optimal port site should be inserted in cases of left-sided gallbladder with acute cholecystitis. An assessment of the extra- and intrahepatic biliary system is essential to avoid biliary injury in cases of left-sided gallbladder with acute cholecystitis.
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spelling doaj.art-293843501c5045d189313ab735d570872022-12-21T19:17:07ZengSpringerOpenSurgical Case Reports2198-77932019-04-01511410.1186/s40792-019-0614-9Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case reportRyosuke Hirohata0Tomoyuki Abe1Hironobu Amano2Tsuyoshi Kobayashi3Masahiro Nakahara4Hideki Ohdan5Toshio Noriyuki6Department of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Surgery, Onomichi General HospitalDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Surgery, Onomichi General HospitalDepartment of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityDepartment of Surgery, Onomichi General HospitalAbstract Background Left-sided gallbladder is a relatively rare anatomical variation that is frequently associated with a biliary system anomaly. Here, we describe a case of left-sided gallbladder with acute cholecystitis treated by laparoscopic cholecystectomy. Case presentation An 86-year-old man with acute upper abdominal pain was admitted to our hospital. Computed tomography demonstrated that the gallbladder was centrally dislocated and the wall enhancement was discontinued. Magnetic resonance cholangiopancreatography showed that the gallbladder wall was thickened and abnormally swollen. A laparoscopic cholecystectomy was performed. The round ligament was attached to the right side of the gallbladder, and the left-sided gallbladder was diagnosed by intraoperative findings. The patient was discharged 5 days after surgery without postoperative complications. Conclusions A flexible and optimal port site should be inserted in cases of left-sided gallbladder with acute cholecystitis. An assessment of the extra- and intrahepatic biliary system is essential to avoid biliary injury in cases of left-sided gallbladder with acute cholecystitis.http://link.springer.com/article/10.1186/s40792-019-0614-9Left-sided gallbladderLaparoscopic cholecystectomyAcute cholecystitis
spellingShingle Ryosuke Hirohata
Tomoyuki Abe
Hironobu Amano
Tsuyoshi Kobayashi
Masahiro Nakahara
Hideki Ohdan
Toshio Noriyuki
Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report
Surgical Case Reports
Left-sided gallbladder
Laparoscopic cholecystectomy
Acute cholecystitis
title Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report
title_full Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report
title_fullStr Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report
title_full_unstemmed Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report
title_short Laparoscopic cholecystectomy for acute cholecystitis in a patient with left-sided gallbladder: a case report
title_sort laparoscopic cholecystectomy for acute cholecystitis in a patient with left sided gallbladder a case report
topic Left-sided gallbladder
Laparoscopic cholecystectomy
Acute cholecystitis
url http://link.springer.com/article/10.1186/s40792-019-0614-9
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