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Left-sided gallbladder:: calculous cholecystitis with situs inversus.
Annals of Surgery
|August 1, 1975
Summary
This case study details a rare instance of cholecystitis in a patient with complete situs inversus, where the gallbladder was on the left side. The successful surgical removal of the diseased gallbladder and appendix highlights the importance of accurate radiological diagnosis in such anatomical variations.
Area of Science:
- Medical Case Study
- Surgical Case Report
- Radiological Diagnosis
Background:
- Complete situs inversus is a rare congenital condition where major visceral organs are mirrored.
- Cholecystitis, or gallbladder inflammation, typically affects the right-sided gallbladder.
- This report focuses on a unique presentation of cholecystitis in a left-sided gallbladder.
Observation:
- A 59-year-old female patient presented with symptoms of cholecystitis.
- Radiological imaging confirmed a left-sided gallbladder, consistent with complete situs inversus.
- The patient underwent successful surgical intervention.
Findings:
- The diseased gallbladder contained two calculi (gallstones).
- The appendix was also removed during the operation.
- Operative cholangiography demonstrated a normal, albeit transposed, biliary system.
Implications:
- This case underscores the importance of considering anatomical variations in diagnosis and surgical planning.
- Successful management of cholecystitis in situs inversus is achievable with accurate radiological assessment.
- Further review of literature on gallbladder anomalies in situs inversus is presented.