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Surgery Today
Published in: Surgery Today 11/2012

01-11-2012 | Case Report

True left-sided gallbladder with a portal anomaly: report of a case

Authors: Ryosuke Kawai, Kanji Miyata, Norihiro Yuasa, Eiji Takeuchi, Yasutomo Goto, Hideo Miyake, Hidemasa Nagai, Masaoki Hattori, Jiro Imura, Yuuki Hayashi, Jiro Kawakami, Yoichiro Kobayashi

Published in: Surgery Today | Issue 11/2012

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Abstract

A 65-year-old female who presented with back pain was diagnosed to have the presence of biliary sludge in the gallbladder. Computed tomography showed that the round ligament connected to the left portal umbilical portion was in the normal anatomical position. However, the gallbladder was located to the left of the middle hepatic vein and the round ligament, attached to the left lateral segment of the liver. The right posterior portal vein diverged alone from the main portal vein, and there was a long stem from the right anterior and left portal veins. Laparoscopic cholecystectomy confirmed the abnormal location of the gallbladder. Most reported cases of left-sided gallbladder are caused by a right-sided round ligament, which is called a “false” left-sided gallbladder. A case of left-sided gallbladder with a normal left-sided round ligament, which is designated as a case of “true” left-sided gallbladder, is extremely rare.
Literature
1.
Gross RE. Congenital anomalies of the gallbladder. A review of one hundred and forty-eight cases, with report of a double gallbladder. Arch Surg. 1936;32:131–62.CrossRef
2.
Newcombe JF, Henley FA. Left-sided gallbladder. A review of the literature and a report of a case associated with hepatic duct carcinoma. Arch Surg. 1964;88:494–7.
3.
Hochstetter F. Anomalien der Pfortader und der Nabelvene in Verbindung mit Defect oder Linkstge der Gallenblase. Arch Anat Entwick. 1886;3:369–84.
4.
Watanabe O, Tsuchiya Y, Makino H, Tsutsui M, Nashimoto A, Sano M, et al. A case of left-sided gallbladder confirmed by laparoscopic cholecystectomy (in Japanese). Shujutsu. 1994;48:2241–3.
5.
Ozeki Y. Left-sided gallbladder. Portal branching and terminology (in Japanese). Tan to Sui. 2002;23:749–52.
6.
Nagai M, Kubota K, Kawasaki S, Takayama T, Bandai Y, Makuuchi M, et al. Are left-sided gallbladders really located on the left side? Ann Surg. 1997;225:274–80.PubMedCrossRef
7.
Huang T, Yamasaki Y, Yamasaki H, Fukui Y, Hatanaka N, Okuno S, et al. Six cases of laparoscopic cholecystectomy to left-sided gallbladder (in Japanese with English abstract). J Jpn Surg Assoc. 2000;61:458–61.CrossRef
8.
Ozeki Y, Onitsuka A, Hayashi M, Sasaki H. Left-sided gallbladder: report of a case and study of 26 cases in Japan (in Japanese with English abstract). J Jpn Surg Soc. 1987;88:1644–50.
9.
Ozeki Y, Onitsuka A, Hino A, Matsunami H, Nishida H, Saito K, et al. Anomalous branching of intrahepatic portal vein associated with anomalous position of round ligament: report of a case (in Japanese with English abstract). Acta Hepatol Jpn. 1989;30:372–8.CrossRef
10.
Miki C, Teranishi T, Tonouchi H, Iriyama K. The right round ligament, a rare anomaly of the liver: case report and review of the literature. Mie Med. 1989;39:61–5.
11.
Moriyama S, Mori T, Umegae S, Masada T, Shimono K, Ikeda T, et al. Two cases of left-sided gallbladder with intrahepaticportal vein anomaly (in Japanese with English abstract). Jpn J Gastroenterol Surg. 1990;23:2813–7.CrossRef
12.
Yamasaki H, Miyazaki S, Tanemura M, Morimoto Y, Kishima H, Sakamoto T, et al. Clinical significance of anomalous branching of intrahepatic portal vein (right-sided umbilical portion) (in Japanese with English abstract). Jpn J Med Ultrason. 1991;18:436–43.
13.
Takemura S, Yamasaki O, Lee KwanChoon, Mori A, Ikeda K, Kinoshita H, et al. A case of left-sided gallbladder and anomalous branching of the intrahepatic portal vein in which a biliary cystadenoma of the liver was resected (in Japanese with English abstract). Jpn J Gastroenterol Surg. 1994;27:2243–7.CrossRef
14.
Uesaka K, Yasui K, Morimoto T, Torii A, Kodera Y, Hirai T, et al. Left-Sided gallbladder with intrahepatic portal venous anomalies. J Hepatobiliary Pancreat Surg. 1995;2:425–30.CrossRef
15.
Ogawa T, Ohwada S, Ikeya T, Shiozaki H, Aiba S, Morishita Y, et al. Left-sided gallbladder with anomalies of the intrahepatic portal vein and anomalous junction of the pancreaticobiliary ductal system: a case report. Hepatogastroenterology. 1995;42:645–9.PubMed
16.
Nishio H, Hasegawa H, Ogiso S, Ishikawa A, Nagai H, Ando H, et al. A case of the left-sided gallbladder with gallstones treated with laparoscopic cholecystectomy (in Japanese). Tan to Sui. 1995;16:697–701.
17.
Ogino T, Ohwada S, Morishima I, Takahashi H, Ogawa T, Takei H, et al. Left-sided gallbladder resected by laparoscopic cholecystectomy (in Japanese with English abstract). J Jpn Surg Assoc. 1996;57:1203–5.
18.
Takiguchi S, Sekimoto M, Matsui S, Yano H, Tateishi H, Kinuta M, et al. A case of left-sided gallbladder combined with an anomalous intrahepatic portal vein, confirmed by laparoscopic cholecystectomy (in Japanese with English abstract). Jpn J Gastroenterol Surg. 1996;29:2294–8.CrossRef
19.
Aoki H, Tagaya N, Kubota K. Laparoscopic cholecystectomy with miniaturized instruments for a left-sided gallbladder: a case report (in Japanese with English abstract). J Jpn Soc Endosc Surg. 2001;6:261–5.
20.
Tomiyama M, Okamura K, Kondo S, Kato H. A case of a left-sided gallbladder treated with laparoscopic cholecystectomy (in Japanese with English abstract). J Jpn Soc Endosc Surg. 2002;7:65–9.
21.
Oshima I. A case of a left-sided gallbladder with right-sided round ligament which was performed partial hepatectomy (in Japanese with English abstract). Geka. 2004;66:959–62.
22.
Futamura N, Matsumoto M, Yasumura M, Tateyama K, Tarao M, Sakamoto K, et al. A case of left-sided gallbladder (in Japanese). Gekachiryo. 2004;90:361–3.
23.
Funakoshi T, Kamiyama T, Nakagawa T, Sato N, Matsushita M, Todo S, et al. Resection of echinococcosis of the liver with the left-sided gallbladder and anomalous intrahepatic portal vein system: a case report (in Japanese with English abstract). Rinsyogeka. 2004;59:743–6.
24.
Nakakubo Y, Tanaka K, Tamoto E, Okushiba S, Kawamura K, Kondo S. A case of a left-sided gallbladder treated using a laparoscopic cholecystectomy (in Japanese with English abstract). Rinsyogeka. 2006;61:995–7.
25.
Fukuda Y, Fujio N, Ihara T, Tsukazaki T, Koyama I, Tsukazaki Y, et al. A case of laparoscopic cholecystectomy for the left-sided gallbladder (in Japanese with English abstract). Geka. 2006;68:343–6.
26.
Fujita T, Ajiki T, Matsumoto T, Okazaki T, Matsumoto I, Kuroda Y, et al. Laparoscopic cholecystectomy for a left-sided gallbladder (in Japanese with English abstract). J Jpn Soc Endosc Surg. 2007;12:403–7.
27.
Matsuoka N, Morimoto T, Yasui Y, Kita S, Yanai H, Matsuo K, et al. A case of a left-sided gallbladder (in Japanese with English abstract). J Kyoto City Hosp. 2007;27:22–5.
28.
Sakihara H, Yokota R, Yamaga S, Nagabuchi E, Kuribayashi H. A case of laparoscopic cholecystectomy for a left-sided gallbladder, diagnosed intraoperatively (in Japanese with English abstract). J Jpn Soc Endosc Surg. 2008;13:625–30.
29.
Matsumoto N, Hasegawa H, Shiroko T, Sakamoto E, Komatsu S, Kurumiya Y, et al. A case of laparoscopic cholecystectomy for acute cholecystitis associated with the left-sided gallbladder and an aberrant hepatic duct (in Japanese with English abstract). Jpn J Gastroenterol Surg. 2008;41:1704–9.CrossRef
30.
Couinaud C. Surgical anatomy of the liver revisited. A most unusual and dangerous anomaly. Paris: C. Couinaud; 1989. p. 25–28.
31.
Kuwayama M, Takeuchi K, Tsuruoka N, Inoue Y, Shiroyama M, Tsuru C, et al. Ultrasonic evaluation of the different branching patterns of the portal vein in the hepatic hilum with special reference to anomalous branching patterns (in Japanese with English abstract). Jpn Med Ultrason. 1989;16:44–51.
32.
Sawada S, Ozeki Y, Matsubara T, Katayama M, Suguyama A, Endo T. A case report of bilateral round ligament of the liver (in Japanese). Rinshogeka. 1995;50:253–6.
Metadata
Title
True left-sided gallbladder with a portal anomaly: report of a case
Authors
Ryosuke Kawai
Kanji Miyata
Norihiro Yuasa
Eiji Takeuchi
Yasutomo Goto
Hideo Miyake
Hidemasa Nagai
Masaoki Hattori
Jiro Imura
Yuuki Hayashi
Jiro Kawakami
Yoichiro Kobayashi
Publication date
01-11-2012
Publisher
Springer Japan
Published in
Surgery Today / Issue 11/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-011-0093-5

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