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Look, but to the left: A rare case of gallbladder sinistroposition and comprehensive literature review.

ABSTRACT: Left-sided gallbladder (LSGB) is a rare anatomic variation that, while benign in the context of its transposition, is of significant intraoperative importance. Due to its association with other anatomic anomalies involving key structures in the hepatobiliary system, discovering it intraoperatively as opposed to preoperatively suddenly increases the difficulty of a gallbladder procedure.

SUBMITTER: Almas T

PROVIDER: S-EPMC8606894 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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Look, but to the left: A rare case of gallbladder sinistroposition and comprehensive literature review.

Almas Talal T Murad Muhammad Faisal MF Mansour Eyad E Khan Muhammad Kashif MK Ullah Muneeb M Nadeem Faisal F Shafi Adil A Khedro Tarek T Almuhaileej Mohammad M Abdulhadi Abdulaziz A Alshamlan Abdulaziz A Nagarajan Vikneswaran Raj VR Mansoor Emad E

Annals of medicine and surgery (2012) 20211101

Left-sided gallbladder (LSGB) is a rare anatomic variation that, while benign in the context of its transposition, is of significant intraoperative importance. Due to its association with other anatomic anomalies involving key structures in the hepatobiliary system, discovering it intraoperatively as opposed to preoperatively suddenly increases the difficulty of a gallbladder procedure. ...[more]

PMID: 34840764

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Project description:BackgroundGallbladder torsion is very rare and easily misdiagnosed as biliary disease. It is defined as the rotation of the gallbladder along the axis of the cystic pedicle on the mesentery. As gallbladder rotation involves the gallbladder artery, the blood supply is blocked, resulting in gallbladder ischemia and eventual necrosis. If misdiagnosis occurs and treatment is delayed, gallbladder torsion can develop into a lethal disease. The typical imaging features of gallbladder torsion in this case are a good learning resource for our young physicians, as well as providing a rare, unusual and typical case for our current literature database.Case descriptionWe present a rare case of gallbladder torsion in a 19-year-old man. The patient complained of sudden recurrent pain and discomfort in the right upper abdomen with vomiting for 12 hours. Abdominal ultrasound and computed tomography (CT) scan showed gallbladder enlargement and signs of acute cholecystitis in emergency examination, and there were no signs of cholecystolithiasis. Considering that the patient was a young male and the patients prefer conservative treatment, symptomatic treatment was given. However, there was no obvious effect after 1 day of medical treatment, but severe abdominal pain in the upper right quadrant continues to progress. Finally, the patient underwent laparoscopic cholecystectomy, and the gallbladder was found to be enlarged with ischemic necrosis, which was caused by gallbladder torsion. The patient recovered 2 days after surgery and was discharged without complications.ConclusionsAlthough the clinical manifestation is similar to that of typical acute calculous cholecystitis, gallbladder torsion can be diagnosed early through some special signs on imaging examination, such as distorted cystic duct signs ("beak and whirl" sign), gallbladder dilatation with gallbladder fossa effusion, and gallbladder in the horizontal position. These signs can help primary surgical treatment and prevent fatal complications such as gallbladder gangrene, perforation, and biliary peritonitis. Therefore, for inexperienced doctors, careful imaging features are required for the correct diagnosis of rare gallbladder torsion.KeywordsGallbladder torsion; acute abdominal disease; cholecystitis; case report.

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Look, but to the left: A rare case of gallbladder sinistroposition and comprehensive literature review.

Publications

Look, but to the left: A rare case of gallbladder sinistroposition and comprehensive literature review.

Similar Datasets

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