Cholecystectomy with left gallbladder (sinistroposition): case report

Abstract

The present case aims to report a case of Videolaparoscopic Cholecystectomy of a patient with Acute Cholecystitis associated with a gallbladder in an unusual position at the Hospital Regional de Sobradinho - DF in 2019. Information obtained through medical record review, anamnesis, intra photographs -operative, literary review.

The gallbladder is an intra-abdominal organ with the function of storing the bile produced by the liver, whose usual location is below the right hepatic lobe lateral to the sickle cell ligament. Cholecystitis consists of inflammation of the gallbladder, with the main origin being calculus gallbladder disease. The gallbladder located medially to the sickle cell ligament (sinistroposition) is a rare condition, corresponding to about 0.3% in a study conducted with patients undergoing video laparoscopic cholecystectomy. The diagnosis of this condition is usually made incidentally during imaging exams or during intra-abdominal surgeries. Recognizing this condition will bring the surgeon the expertise to deal with eventual adversity. Commonly when faced with this condition, the surgeon has to perform a broader dissection, perform intraoperative cholangiography or even conversion to open surgery for better recognition of the anatomy.