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Ectopic gallbladder revisited, laparoscopically: a case report

C C Chung1, K L Leung, W Y Lau

  • 1Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|January 7, 1998
PubMed
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This case study presents a rare congenital anomaly: an ectopic gallbladder. Laparoscopic surgery successfully removed the misplaced gallbladder, highlighting the importance of preoperative imaging for diagnosis.

Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Congenital Anomalies

Background:

  • Ectopic gallbladder is a rare congenital anomaly where the gallbladder is abnormally located.
  • Diagnosis can be challenging due to its unusual position, often leading to delayed treatment.
  • Symptomatic presentation typically involves abdominal pain, mimicking other gastrointestinal conditions.

Observation:

  • A 16-year-old female presented with recurrent epigastric pain.
  • Abdominal ultrasonography failed to locate the gallbladder in the standard anatomical position.
  • Endoscopic retrograde cholangiography revealed an ectopic gallbladder situated to the left of the common bile duct, with the cystic duct originating from the right hepatic duct.

Findings:

  • The case details the successful laparoscopic cholecystectomy of an ectopic gallbladder.

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  • This represents the first reported instance of minimally invasive surgical removal for this specific anomaly.
  • Preoperative endoscopic retrograde cholangiography was crucial for accurate diagnosis and anatomical localization.

    • Implications:

    • Accurate preoperative imaging, particularly cholangiography, is vital for surgical planning in ectopic gallbladder cases.
    • Laparoscopic cholecystectomy is a feasible and safe treatment option for ectopic gallbladder.
    • This case expands the understanding of gallbladder anomalies and their surgical management.