title: Laparoscopic cholecystectomy for a left-sided gallbladder.
abstract: Cholecystectomy is a common procedure. Abnormalities in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much rarer. Despite frequent pre-operative imaging, the aberrant location of the gallbladder is commonly discovered at surgery. This article presents a case of a patient with the gallbladder located to the left of the falciform ligament in the absence of situs inversus totalis that presented with right upper quadrant pain. A laparoscopic cholecystectomy was performed and it was noted that the cystic duct originated from the right side. The presence of a left sided gall bladder is often associated with various biliary, portal venous and other anomalies that might lead to intra-operative injuries. The spectrum of unusual positions and anatomical gallbladder abnormalities is reviewed in order to facilitate elective and emergent cholecystectomy as well as other hepatobiliary procedures. With proper identification of the anatomy, minimally invasive approaches are still considered safe.
authors.affiliation: Mazen E Iskandar, Agnes Radzio, Merab Krikhely, I Michael Leitman, Department of Surgery, Albert Einstein College of Medicine-Beth Israel Medical Center, New York, NY 10003, United States.
authors.forename: Mazen E
authors.initials: ME
authors.lastname: Iskandar
authors.forename: Agnes
authors.initials: A
authors.lastname: Radzio
authors.forename: Merab
authors.initials: M
authors.lastname: Krikhely
authors.forename: I Michael
authors.initials: IM
authors.lastname: Leitman
mesh_terms: D049448:Cholangiopancreatography, Magnetic Resonance; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005704:Gallbladder / Q000002:abnormalities* / Q000601:surgery*; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Bile duct anomaly; Laparoscopic cholecystectomy; Left sided gallbladder; Liver anomalies; Liver transplant; Portal vein anomaly; Sinistroposition of the gallbladder; Situs inversus