A Case of Left-sided Gallbladder Combined with an Anomalous Intrahepatic Portal Vein, Confirmed by Laparoscopic Cholecystectomy

Shuji Takiguchi, Mitsugu Sekimoto, Shigeo Matsui, Hiroshi Yano, Hideo Tateishi, Masakatsu Kinuta, Hirohide Maruyama, Eiji Yayoi, Jun Okamura

Department of Surgery, Osaka Teisin Hospital

A case of left-sided gallbladder combined with both an accessory bile duct and an anomaly of the intrahepatic portal vein, was confirmed accidentally by laparoscopic cholecystectomy was reported. A 41-year-old woman with cholelithiasis was admitted to our hospital and laparoscopic cholecystectomy was performed. The gallbladder was located in the left side of the round ligament, (left-sided gallbladder). It was also complicated with right round ligament and an accessory hepatic bile duct. There are only 50 reports of left-side gallbladder without situs inversus totalis in Japan, but in 9 of these cases the gallbldder misplacement was combined with a portal vein anomaly as in our case. For these cases, some authors advocate another possible mechanism: A left-sided gallbladder might arise when the right round ligament remains and the gallbladder develops at the left of this ligament. This could be added to Gross' theory.

Key words
left-sided gallbladder, anomaly of intrahepatic portal vein, laparoscopic cholecystectomy

Reprint requests
Shuji Takiguchi Department of Surgery, Osaka Teishin Hospital
2-6-40, Karasugatsuji, Tennouji-ku, Osaka, 543 JAPAN

Accepted
September 11, 1996

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