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Cholecystitis

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...

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Left-Sided Gallbladder: Tips and Tricks to Safe Cholecystectomy.

Nicole Hawkins¹, Matan Ben David^2,3

¹General Surgery, Townsville University Hospital, Townsville, AUS.

|January 28, 2025

Summary

Left-sided gallbladder (LSGB) is a rare anatomical variation. This case highlights the importance of recognizing LSGB during surgery to prevent complications and ensure patient safety.

Keywords:

benign gallbladder diseases biliary colic pain difficult cholecystectomy laporoscopic cholecystectomy true left-sided gallbladder

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Area of Science:

Surgical Anatomy
Gastrointestinal Surgery
Medical Imaging

Background:

Left-sided gallbladder (LSGB) is an uncommon congenital anomaly where the gallbladder resides left of the falciform ligament.
It is frequently diagnosed incidentally during abdominal surgeries, particularly cholecystectomies.
LSGB can be associated with increased surgical risks due to potential concurrent anatomical variations.

Observation:

A 71-year-old female presented with chronic right upper quadrant and epigastric pain and intermittent biliary colic.
Ultrasound revealed a large gallstone (39 mm).
Laparoscopic cholecystectomy was performed, during which an incidental left-sided gallbladder was identified.

Findings:

Left-sided gallbladder is a rare anatomical variation.
Patients with LSGB face a higher risk of operative complications.
Concurrent biliary and arterial anomalies are common with LSGB, increasing surgical complexity.

Implications:

Understanding LSGB anatomy is crucial for surgical planning and risk mitigation.
Modifications to standard laparoscopic cholecystectomy, such as falciform ligament division and altered port placement, may be required.
Safe surgical intervention in patients with LSGB necessitates awareness and adaptation of techniques.