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Updated: Nov 30, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Left-sided gallbladder (LSG) associated with true diverticulum, a case report.

Thaís Regina Moreira Printes¹, Írian Evelyn Cordeiro Rabelo¹, Júlia F Cauduro²

¹General Surgery Service at Getúlio Vargas Teaching Hospital (HUGV), Manaus, Amazonas, Brazil.

AME Case Reports

|November 12, 2020

Summary

Left-sided gallbladder (LSG) is a rare anatomical variation. This case report details a true LSG with gallbladder diverticulum found during surgery for gallstones, highlighting the importance of surgical adaptation.

Keywords:

Left-sided gallbladder (LSG)case report diverticulum

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Area of Science:

Gastroenterology
Surgical Anatomy
Medical Imaging

Background:

Left-sided gallbladder (LSG) is a rare congenital anomaly where the gallbladder is situated to the left of the falciform ligament.
LSG is typically asymptomatic and often discovered incidentally during abdominal imaging or surgery.
Symptomatic LSG is frequently associated with gallstones and cholelithiasis.

Observation:

A 60-year-old male presented with symptomatic acute cholelithiasis.
Laparoscopic cholecystectomy revealed a true LSG with a polypoid lesion.
Histopathological analysis confirmed a true gallbladder diverticulum.

Findings:

The patient had a true left-sided gallbladder (LSG), a rare variant.
A gallbladder diverticulum was identified, characterized by herniation of all gallbladder wall layers.
No concurrent biliary or hepatic structural anomalies were noted in this case.

Implications:

Accurate identification of LSG is crucial for surgical planning and technique modification.
Surgeons must be prepared to adapt their approach to manage LSG variations effectively.
This case underscores the importance of recognizing rare anatomical variations for optimal patient outcomes.