A Case Report on True Left-Sided Gallbladder and Review of Literature

Coco D and Leanza S

Department of General Surgery, AST 1 Pesaro-Urbino, Italy
Department of General Surgery, Carlo Urbani Hospital, AST 2, Italy

^*Correspondance to: Danilo Coco 

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Abstract:

Background: The symptoms of a true Left-Sided Gallbladder (LSG), an uncommon finding, may resemble those of a gallbladder in a normal location. Additionally, it might be overlooked by preoperative imaging tests like endoscopic ultrasound, Computed Tomography (CT), or Magnetic Resonance Imaging (MRI). A true left-sided gallbladder poses a surgical challenge, and laparoscopic cholecystectomy may require modification of the surgical procedure. Case Report: In this case report, we show a real case of a gallbladder on the left side that caused symptoms on the right side of the abdomen. The gallbladder's location on the left side of the abdomen was not visible on an abdominal ultrasound. The aberrant architecture is typically found unintentionally during surgery because the majority of patients with symptomatic gallstones do not require additional cross-sectional imaging (CT or MRI), as in our case report. Discussion: True LSG is an uncommon anomaly that can exhibit right-sided symptoms similar to a gallbladder in its normal position. It could go undetected in prior imaging tests and be found only during surgery. For the safe removal of the gallbladder, it might be necessary to modify the laparoscopic ports, adjust the patient's posture or the surgeon's position, or switch to an open cholecystectomy. Conclusion: For a left-sided gallbladder, the traditional laparoscopic cholecystectomy procedure is possible. However, changes to the surgical procedure may be required for the safe dissection of the gallbladder if the anatomy is unclear.

Keywords:

Laparoscopic; Cholecystectomy; Anatomy

Cite the Article:

Coco D, Leanza S. A Case Report on True Left-Sided Gallbladder and Review of Literature. Clin Case Rep Int. 2023; 7: 1625.