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Case Report
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| Longest and left-sided gallbladder | ||||||
| Atul Kumar Mittal1, Sourabh Sharma1, Selva Kumar Balakrishnan2, Jeevan Kankaria3, Rajkamal Jenaw4 | ||||||
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1MBBS, Resident, Department of Surgery, S.M.S. Medical College and Hospital, Jaipur, Rajasthan, India.
2MS, General Surgery, Resident, Department of Surgery, S.M.S. Medical College and Hospital, Jaipur, Rajasthan, India. 3MS, General Surgery, Associate Professor, Department of Surgery, S.M.S. Medical College and Hospital, Jaipur, Rajasthan, India. 4MS, General Surgery, Professor, Department of Surgery, S.M.S. Medical College and Hospital, Jaipur, Rajasthan, India. | ||||||
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| How to cite this article |
| Mittal AK, Sharma S, Balakrishnan SK, Kankaria J, Jenaw R. Longest and left-sided gallbladder. International Journal of Case Reports and Images 2014;5(5):373–376. |
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Abstract
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Introduction:
As laparoscopic cholecystectomy is one of the most common procedure done worldwide. Although anomalies are rare but are associated with congenital malformations of gallbladder, bile ducts and vascular system.
Case Report: Herein, we present a case of young female presenting with symptoms of pain in right hypochondrium with ultrasonographic diagnosis of cholelithiasis undergone successful laparoscopic cholecystectomy with Intraoperative findings of: 1. The length of the gallbladder was measured to be 25.8 cm. 2. The fundus of the gallbladder was placed to the left of the falciform ligament. The gallbladder then extended to the right of the falciform ligament, reached up to the liver margin before taking a 'U'-turn to lie in the usual gallbladder fossa. Conclusion: Anomalies of gallbladder present an important hurdle in successful laparoscopic cholecystectomy. Most of time not known preoperatively encountered during surgery. Isolated left-sided gallbladders are rare and found in 0.04–0.3% of cases. When there is question about anatomy of biliary tract intraoperatively one should consider for anomalies. A habit of calm and slow dissection with precautions should be developed. Clearance of the anatomical structures with limited use of electrocautery should be done before proceeding towards ligation or clip applications to structures. A surgeon should be well equipped with knowledge of anomalies of gallbladder and meticulous dissection with good exposure of structures should be done when an anomaly found. | |
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Keywords:
Left-sided gallbladder, Longest gallbladder, Laparoscopic cholecystectomy, Anomaly gallbladder
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Author Contributions
Atul Kumar Mittal – Conception and design, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Sourabh Sharma – Conception and design, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Selva Kumar Balakrishnan – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Jeevan Kankaria – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Rajkamal Jenaw – Conception and design, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Atul Kumar Mittal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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