The Surgical Implications of a Left-sided Gallbladder: A Case Report
George John K Thomas George
Prince Court Medical Centre, Malaysia.
Kumar Hari Rajah *
Taylor’s University School of Medicine Clinical Campus, 47500 Sg Buloh, Selangor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
A left-sided gallbladder is a rare anomaly that is often discovered when performing a laparoscopic cholecystectomy. Its position has implications when performing the cholecystectomy, as retraction of the gallbladder will require proper placement of the ports. The dissection will have to be done carefully, looking for the atypical presentation of the cystic duct and cystic artery. An on-table cholangiogram should be performed to show the biliary anatomy and confirm the insertion of the cystic duct and the presence of any atypical anatomy of the biliary system. In this case, we present a 38-year-old female patient with symptoms of cholecystitis, and upon performing a laparoscopic cholecystectomy, a left-sided gallbladder was discovered. The laparoscopic cholecystectomy was completed after performing an on-table cholangiogram.
Keywords: left-sided gallbladder, cholecystectomy, cholangiogram, cholecystitis and sinistroposition