Korean J Med.  2010 Mar;78(3):348-351.

A left-sided gallbladder accompanying atrophy of the lateral inferior segment of the liver

Affiliations
  • 1Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. bhhankosin@hanmail.net

Abstract

A left-sided gallbladder occurring in the absence of situs inversus is a rare anomaly. This anomaly was found in a 50-year-old man without any evidence of pancreatobiliary disease. Epigastric transverse ultrasonography showed a normal gallbladder with its fundus extending past the left lateral end of the liver. Abdominal computed tomography (CT) revealed that the gallbladder was located beneath the quadrate lobe (S4) of the liver to the left of the left branch of the portal vein, and S4 was hypertrophied to compensate for atrophy of the lateral inferior segment (S3) of the liver. Magnetic resonance cholangiopancreatography (MRCP) showed that the gallbladder and pancreatobiliary tree were normal, and that the cystic duct joined the common bile duct from the right side making a characteristic U-shaped hairpin bend.

Keyword

Gallbladder; Cystic duct; Deformity; Liver; Atrophy

MeSH Terms

Atrophy
Cholangiopancreatography, Magnetic Resonance
Common Bile Duct
Congenital Abnormalities
Cystic Duct
Gallbladder
Gallbladder Diseases
Humans
Liver
Middle Aged
Portal Vein
Situs Inversus
Gallbladder
Gallbladder Diseases
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