Wandering gallbladder

Authors

  • Neeraj Kumar Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, India
  • Piyush Ranjan Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, India
  • Rajesh Panwar Department of Gastrosurgery, All India Institute of Medical Sciences, New Delhi, India
  • Kamal Kataria Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20201889

Keywords:

Conversion, Gall bladder, Hydatid liver disease, Laparoscopy, Lap converted to open, Laparoscopic surgery, Liver hypertrophy, Open cholecystectomy, Surgical skill

Abstract

Cholecystectomy preferably laparoscopy is gold standard treatment for symptomatic cholelithiasis. However for some anatomical and/or pathological reasons the procedure is converted to open. Conversion rates at high volume centres is <5%. We present a case report of 48 aged lady, previously operated multiple times for hydatid liver and lung with symptomatic cholelithiasis. She was planned for laparoscopic cholecystectomy. During the procedure, inadvertent anatomy of “the wandering gallbladder” was noted. Here we describe the management approach selected for this type of unusual presentation. We recommend noting down detailed past history (preferably surgical) and preoperative consideration of deviant anatomical location and findings of gallbladder. We should maintain a low threshold for conversion to open.

Author Biography

Neeraj Kumar, Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, India

Department of surgical disciplines, Junior resident

References

Wermke W. Ultrasonic diagnosis of gallstone diseases. Z Gesamte Inn Med. 1989;44:377-82.

Visser BC, Parks RW, Garden OJ. Open cholecystectomy in the laparoendoscopic era. Am J Surg. 2008;195:108-14.

Blanton DE, Bream CA, Mandel SR. Gallbladder ectopia. A review of anomalies of position. Am J Roentgenol Radium Ther Nucl Med. 1974;121:396-400.

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Published

2020-04-23

Issue

Section

Case Reports