Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy

Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. This is a report of a 50-year-old woman who was admitted to...

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Main Authors: Amin Makni, Houcine Magherbi, Rachid Ksantini, Wael Rebai, Zoubeir Ben Safta
Format: Article
Language:English
Published: Elsevier 2012-04-01
Series:Asian Journal of Surgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958412000310
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author Amin Makni
Houcine Magherbi
Rachid Ksantini
Wael Rebai
Zoubeir Ben Safta
author_facet Amin Makni
Houcine Magherbi
Rachid Ksantini
Wael Rebai
Zoubeir Ben Safta
author_sort Amin Makni
collection DOAJ
description Transposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. This is a report of a 50-year-old woman who was admitted to our department with a history of pain in her right upper abdomen. The physical examination showed tenderness in the right upper quadrant of the abdomen without a Murphy's sign. Abdominal ultrasonography showed gall bladder stones without dilatation of the bile ducts. The patient underwent a laparoscopic cholecystectomy using the French position and four ports positioned as usual. We discovered a left-sided gallbladder located on the left of the round ligament. The gallbladder was excised as usual. Intraoperative cholangiogram showed neither dilatation of the bile ducts nor associated congenital anomalies of the biliary tree. The patient was discharged on the first postoperative day. Because routine preoperative examinations may not detect the anomaly, the latter may take surgeons by surprise during laparoscopy. Awareness of the unpredictable confluence of the cystic duct into the common bile duct and selective use of intraoperative cholangiography both contributed to the safe laparoscopic management of this unusual problem.
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spelling doaj.art-2e45dfee54fb48e8846905ad506bd2192022-12-21T23:42:22ZengElsevierAsian Journal of Surgery1015-95842012-04-01352939510.1016/j.asjsur.2012.04.011Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomyAmin MakniHoucine MagherbiRachid KsantiniWael RebaiZoubeir Ben SaftaTransposition of the gallbladder to the left side without situs inversus viscerum is rare. These gallbladders are situated under the left lobe of the liver between Segment III and IV or on Segment III to the left of the falciform ligament. This is a report of a 50-year-old woman who was admitted to our department with a history of pain in her right upper abdomen. The physical examination showed tenderness in the right upper quadrant of the abdomen without a Murphy's sign. Abdominal ultrasonography showed gall bladder stones without dilatation of the bile ducts. The patient underwent a laparoscopic cholecystectomy using the French position and four ports positioned as usual. We discovered a left-sided gallbladder located on the left of the round ligament. The gallbladder was excised as usual. Intraoperative cholangiogram showed neither dilatation of the bile ducts nor associated congenital anomalies of the biliary tree. The patient was discharged on the first postoperative day. Because routine preoperative examinations may not detect the anomaly, the latter may take surgeons by surprise during laparoscopy. Awareness of the unpredictable confluence of the cystic duct into the common bile duct and selective use of intraoperative cholangiography both contributed to the safe laparoscopic management of this unusual problem.http://www.sciencedirect.com/science/article/pii/S1015958412000310aberrant gallbladderlaparoscopyleft-sided gallbladder
spellingShingle Amin Makni
Houcine Magherbi
Rachid Ksantini
Wael Rebai
Zoubeir Ben Safta
Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
Asian Journal of Surgery
aberrant gallbladder
laparoscopy
left-sided gallbladder
title Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
title_full Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
title_fullStr Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
title_full_unstemmed Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
title_short Left-sided gallbladder: An incidental finding on laparoscopic cholecystectomy
title_sort left sided gallbladder an incidental finding on laparoscopic cholecystectomy
topic aberrant gallbladder
laparoscopy
left-sided gallbladder
url http://www.sciencedirect.com/science/article/pii/S1015958412000310
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AT houcinemagherbi leftsidedgallbladderanincidentalfindingonlaparoscopiccholecystectomy
AT rachidksantini leftsidedgallbladderanincidentalfindingonlaparoscopiccholecystectomy
AT waelrebai leftsidedgallbladderanincidentalfindingonlaparoscopiccholecystectomy
AT zoubeirbensafta leftsidedgallbladderanincidentalfindingonlaparoscopiccholecystectomy