Skip to main content

Advertisement

Log in

Gallenblasendystopie

Anomalous position of the gallbladder — a case report, embryological aspects and literature review

Fallbeschreibung, embryologische Ätiologie und Literaturübersicht

  • Published:
Langenbecks Archiv für Chirurgie Aims and scope Submit manuscript

Summary

Abnormal position of the gallbladder seems to be rare, but knowledge about the varieties helps to avoid intraoperative complications regarding the spreading procedure of laparoscopic cholecystectomy. In the reported case the gallbladder was found in the lower right abdomen fixed by adhesions to the jejunum. Embryological aspects are discussed and a literature review is given.

Zusammenfassung

Die Gallenblasendystopie gehört zu den Raritäten im chirurgischen Krankengut. Daher können Kenntnisse über die mögliche dystope Lage dieses Organs intraoperative Komplikationen, insbesondere im Hinblick auf das sich zunehmend etablierende Verfahren der laparoskopischen Cholezystektomie, vermeiden helfen. Erstmals wird über einen Fall einer außergewöhnlichen Lage der Gallenblase im rechten Unterbauch mit Fixierung an einer Jejunumschlinge berichtet. Neben einer Literaturübersicht werden die embryologischen Aspekte dieser Fehllage diskutiert.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Literatur

  1. Lindner HH, Green RB (1964) Embryology and surgical anatomy of extrahepatic bilary tract. Surg Clin North Am 44:1273

    Article  Google Scholar 

  2. Langman J (1989) Medizinische Embryologie, 8. Aufl. Thieme, Stuttgart New York

  3. Hinrichsen KV (1990) Humanembryologie. Springer, Berlin Heidelberg New York Tokyo

    Book  Google Scholar 

  4. Stark D (1965) Embryologic, 2. Aufl. Thieme, Stuttgart New York

  5. Rutolo F, Petrangeli SM, Candia C, Ferrini I, Bedini C (1989) Position anomalies of the gallbladder. Apropos of 4 cases. Minerva Chir 449:1409–1413

    Google Scholar 

  6. Gross RE (1936) Congenital abnormalities of gallbladder. Arch Surg 32:131

    Article  Google Scholar 

  7. Nelson P, Schinitz R, Perutseas S (1953) Anomalous position within falciform ligament. Arch Surg 66:679

    Article  CAS  Google Scholar 

  8. Regen FJ, Pointdexter A (1965) Supra-hepatic position of the gallbladder. Arch Surg 90:175

    Article  CAS  PubMed  Google Scholar 

  9. McNamee EP (1935) Intrahepatic gallbladder. Am J Roentgenol 33:603

    Google Scholar 

  10. Pontes JF, Pinotti HW (1976) Anomalies of the gallbladder and biliary system. In: Bocks hL (ed) Gastroenterology, 3rd edn. Saunders, Philidalphia

    Google Scholar 

  11. Etter L (1953) Left sides gallbladder. Am J Roentgenol 70:6

    Google Scholar 

  12. Herrington JL (1946) Gallbladder arising from the left hepatic lobe. Am J Surg 112:106

    Article  Google Scholar 

  13. Prozio R, Biscardi A, Corona G, Ancona G, Maione A (1982) Colecistis sinistra. Considerazioni anatomy-patologiche e clinico-chirurgiche su due casi. Chir Gastroenterol 16:634

    Google Scholar 

  14. Hochstetter F (1866) Anomalien der Pfortader und der Nabelvene in Verbindung mit Defekt oder Linkslage der Gallenblase. Arch Anat Entw 369

  15. Levin EL, Saksenberg R (1980) Left-sided common bile due and gallbladder in the absence of situs inversus. S Afr J Surg 18:23

    CAS  PubMed  Google Scholar 

  16. Newcombe JF, Henley FA (1964) Left-sided gallbladder. Arch Surg 88:494

    Article  CAS  PubMed  Google Scholar 

  17. Siebmair J (1986) Die linksseitige Gallenblase — eine seltene anatomische Variante. Chirurg 57:653–654

    Google Scholar 

  18. Bullard RWJ (1945) Subcutaneus of extraperitoneal gallbladder; report of a case. JAMA 129:949

    Article  Google Scholar 

  19. Mondor H (1949) Diagnostics urgents abdomen. Masson, Paris, S 1

    Google Scholar 

  20. Atias I, Iuchtman M (1986) Torsion of a floating gallbladder presenting as inguinal hernia. Harefuah 111/11:374–375

    Google Scholar 

  21. Rachlin SA (1951) Congenital anomalies of the gallbladder and ducts. Mil Surgeon 109:20

    CAS  Google Scholar 

  22. Korn O, Csendes A, Bastians J (1988) Anomalies of extrahepatic biliary duct and gallbladder associated with intestinal malrotation: a case report. Surgery 103/4:496–498

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Buschulte, J., Brands, W. & Wirth, H. Gallenblasendystopie. Langenbecks Arch Chir 377, 53–55 (1992). https://doi.org/10.1007/BF00186149

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00186149

Key words

Navigation