A Study of Variations in the Position of Fundus and Peritoneal Reflections of Gall Bladder
Introduction: Various positions of fundus and peritoneal reflections of Gall bladder are of significance as it is a common site of medical and surgical pathologies. Aim: To study the position and length of fundus of gall bladder and the peritoneal relations of the gall bladder. Materials and Me...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2019-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2450/36490_CE[Ra1]_F(SHU)_PF1(A_KM)_PFA(A_SHU)_PF2(PS_SHU)_PN(SHU).pdf |
| Summary: | Introduction: Various positions of fundus and peritoneal
reflections of Gall bladder are of significance as it is a common
site of medical and surgical pathologies.
Aim: To study the position and length of fundus of gall bladder
and the peritoneal relations of the gall bladder.
Materials and Methods: An observational cadaveric study was
done on 58 adult human liver specimens obtained from cadavers
between the age of 20 to 68 years over a period of five years
between October 2012 to September 2017 from the Department
of Anatomy, Shri Sathya Sai Medical College and Meenakshi
Medical College, Kancheepuram, after obtaining ethical committee
clearance for studying the different positions and length of fundus
along with the peritoneal reflections of gall bladder.
Results: The position of fundus of gall bladder was observed
to be inframarginal in 25 specimens (43.1%), marginal in 13
specimens (22.4%) and supramarginal in 20 specimens
(34.48%). For the 25 inframarginal type of gall bladders, the
length of the fundus varied between 1.8 to 4 cm. A total of 31
out of 58 gall bladders showed differential peritoneal reflection.
The remaining 27 specimens showed normal peritoneal
reflection.
Conclusion: Knowledge about the different positions of gall
bladder and its peritoneal relations is important, as peritoneum
extending onto the superior surface can often be related
to torsion and also may get injured being a common site of
laparoscopic surgeries. |
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| ISSN: | 2277-8543 2455-6874 |