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Challenging intrahepatic laparoscopic cholecystectomy: a case report
Nouf Tuhaif Algahtani1, Ahmad Saad Alshehri2, Areej A Alhumaid3
1Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Ar Rimayah District, PO Box 22490, Riyadh 11426, Riyadh Province, Saudi Arabia.
Journal of Surgical Case Reports
|September 2, 2025
Summary
An intrahepatic gallbladder, located within the liver, presents surgical challenges. This case study demonstrates successful laparoscopic management of an intrahepatic gallbladder, highlighting its feasibility.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Surgical Anatomy
Background:
- Ectopic gallbladder locations are rare but documented.
- An intrahepatic gallbladder is situated within the liver parenchyma or along its anterior inferior right lobe.
Observation:
- A 39-year-old male presented with symptoms suggestive of gallbladder disease.
- Ultrasonography revealed a contracted gallbladder with gallstones.
- Diagnostic laparoscopy identified the gallbladder embedded within the liver parenchyma.
Findings:
- Laparoscopic cholecystectomy was performed, with the gallbladder successfully resected.
- Pathology confirmed chronic cholecystitis.
- The patient experienced an unremarkable postoperative recovery.
Implications:
- Intrahepatic gallbladders pose significant localization challenges during laparoscopic surgery.
- Laparoscopic management of intrahepatic gallbladders is achievable without conversion to open surgery.
- This case underscores the importance of considering anatomical variations in surgical planning.
