DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174004

Left-sided gall bladder found incidentally during emergency laparoscopic appendectomy due to acute appendicitis

Jurij Janež

Abstract


The gallbladder is affected by a large number of congenital anomalies, which may affect its location, number, size, or form. Some of these malformations are very rare and may lead to misdiagnosis. Knowledge of the location of the gallbladder is of great importance for the surgeon, particularly when cholecystectomy or other biliary surgery is to be performed. There are many variants not only of the position of the gallbladder but also in the way the cystic duct joins the biliary tree. The left-sided gallbladder remains a scarce anomaly with prevalence of 0.3%. This report presents a case of a young male patient, who was operated due to acute appendicitis. Laparoscopic appendectomy was performed and at laparoscopy a left-sided gallbladder was found, located on the III liver segment, on the left side of the round ligament.


Keywords


Anatomic variant, Incidental finding, Left-sided gallbladder, Laparoscopy

Full Text:

PDF

References


Rafailidis V, Varelas S, Kotsidis N, Rafailidis D. Two congenital anomalies in one: an ectopic gallbladder with Phrygian cap deformity. Case Reports Radiol. 2014;2014:1-4.

Chrungoo RK, Kachroo SL, Sharma AK, Khan AB, Nadim AS. Left-sided gall bladder: report of two cases. J Min Access Surg. 2007;3(3):108-10.

Zografos GC, Lagoudianakis EE, Grosomanidis D, Koronakis N, Tsekouras D, Chrysikos J, et al. Management of incidental left-sided gallbladder. JSLJ. 2009;13:273-5.

Idu M, Jakimowicz J, Iuppa A, Cuschieri A. Hepatobiliary anatomy in patients with transposition of the gallbladder: implications for safe laparoscopic cholecystectomy. Br J Surg. 1996;83:1442-3.

Zoulamoglou M, Flessas I, Zarokosta M, Piperos T, Papapanagiotou I, Birbas K. Left-sided gallbladder (sinistroposition) encountered during laparoscopic cholecystectomy: a rare case report and review of the literature. Int J Surg Case Reports. 2017;31:65-7.

Hassan AU, Zargar SA, Malik A, Shah P. Surgical significance of variation in anatomy in the biliary region. Int J Res Med Sci. 2013;1(3):183-7.

Sontakke Y, Gladwin V, Chand P. Anatomic variant of liver, gall bladder and inferior vena cava. J Clin Diagnostic Res. 2016;10(7):3-5.

Alharthi S, Bernon M, Krige JEJ. Beware the left-sided gallbladder. South African J Surg. 2012;50(3): 88-9.