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Medical Science Monitor Basic Research


A Rare Case of a Left-sided Gallbladder Accompanied with an Aplastic Cystic Duct in a Patient with Acute Cholecystitis

Management of emergency care, Congenital defects / diseases

Dimitrios Chatzifotiou, Martin Schnell, Bogdan Lupascu, Matthias Gundlach

Germany Clinic of General-, Visceral- and Thoraxsurgery, Hegau Bodensee Clinic, Singen, Germany

Am J Case Rep 2020; 21:e920821

DOI: 10.12659/AJCR.920821

Available online: 2020-01-24

Published: 2020-02-19


BACKGROUND: A left-sided gallbladder without situs inversus is a rare congenital anomaly of the gallbladder with a prevalence ranging from 0.04-0.3%.
CASE REPORT: We present a case of a female patient, referred to our clinic with clinical features of an acute cholecystitis. After performing the standard preoperative investigations, which confirmed the diagnosis, the patient underwent a laparoscopic cholecystectomy. We found a left-sided gallbladder, attached to the lower surface of the left lobe of the liver. During the dissection in the Callot triangle an aplastic cystic duct was also identified. The extirpation of the gallbladder was performed anterograde, allowing a better exposition of the critical structures.
CONCLUSIONS: A left sided gallbladder is almost an incidental finding, which can be accompanied with further anomalies of the biliary tree. A combination of these 2 variations is very rare without any other reported cases in the literature.

Keywords: Cholecystectomy, Laparoscopic, Cholecystitis, Acute, Cystic Duct, Gallbladder