Case Report
Volume 7 Issue 4 - 2020
Gallbladder Located to the Left of the Falciform Ligament in the Absence of Situs Inversus: ‘Sinistraposition’
Claudia Ximena Millán1 and Mónica Patricia Torres2*
1Médica, Cirujana General; Efe de Cirugía, Clínica Amiga, Cali, Colombia
2Médica, Cirujana General, Clínica Amiga, Cali, Colombia
*Corresponding Author: Mónica Patricia Torres, Médica, Cirujana General, Clínica Amiga, Cali, Colombia.
Received: February 20, 2020; Published: March 17, 2020




Abstract

The gallbladder, located to the left of the falciform ligament, in the absence of situs inversus; also called sinistraposition; it is a rare anatomical anomaly. Although it is rare, it is considered important that any surgeon is familiar with this finding because surgery can become a real technical challenge. Several case reports have documented the safe handling of sinistraposition when found incidentally during conventional laparoscopic cholecystectomy. Thus, this procedure can be safely performed, even if the injury to the bile duct is not unusual; because the association of these cases abnormalities, biliary tree and intrahepatic portal is not negligible. The story of a patient of 56 years old with symptomatic cholelithiasis and ultrasound that did not report the anomalous position of the gallbladder is presented. He was taken to laparoscopic cholecystectomy, where a gallbladder located in segment III of the liver without apparently associated with other extra-hepatic biliary abnormalities were found. The procedure was performed by multiport laparoscopically technique, without complications for the patient; who so far is asymptomatic.

Keywords: Sinistraposition; Left Sided Gallbladder; Vesicular Anatomical Variant; Laparoscopic Cholecystectomy; Laparoscopic Cholecystectomy Technical Considerations; Biliary Tract Abnormality

References

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Citation: Claudia Ximena Millán and Mónica Patricia Torres. “Gallbladder Located to the Left of the Falciform Ligament in the Absence of Situs Inversus: ‘Sinistraposition’”. EC Gastroenterology and Digestive System 7.4 (2020): 09-14.

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