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Biliary Injury After Laparoscopic Cholecystectomy in a Patient with Right Liver Agenesis: Case Report and Review of the Literature

  • case report
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Introduction

An 87-year-old man underwent attempted laparoscopic cholecystectomy.

Material and Methods

The procedure was characterized by significant inflammation and bleeding requiring conversion to an open procedure. Postoperatively, the patient had continued bile drainage from his surgical drain. He was referred to our institution and found to have complete transection of his common bile duct. Incidentally, he was noted on imaging studies to have absence of his right liver with associated left liver hypertrophy. This was characterized by complete absence of the right portal vein and right bile duct. Review of his preoperative imaging confirmed this finding of right liver agenesis and very unusual hepatic vein anatomy.

Conclusion

This represents the first reported case of bile duct injury in the setting of right liver agenesis. We review the details of the case and the natural history of agenesis of a hemiliver.

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References

  1. Radin DR, Colletti PM, Ralls PW, Boswell WD Jr, Halls JM. Agenesis of the right lobe of the liver. Radiology. 1987;164:639–642.

    PubMed  CAS  Google Scholar 

  2. Sato N, Kawakami K, Matsumoto S, Toyonaga T, Ishimitsu T, Nagafuchi K et al. Agenesis of the right lobe of the liver: report of a case. Surg Today 1998;28:643–646. doi:10.1007/s005950050199.

    Article  PubMed  CAS  Google Scholar 

  3. Karaman CZ, Ozek T, Urhan MK, Topgul K. Agenesis of the right lobe of the liver. Case report. Acta Radiol 1997;38:428–430.

    PubMed  CAS  Google Scholar 

  4. Cesani F, Walser EM, Goodacre B, Huynh K, Ali SA, Briscoe EG. Agenesis of the right lobe of the liver. Clin Nucl Med 1996;21:1001–1002. doi:10.1097/00003072-199612000-00029.

    Article  PubMed  CAS  Google Scholar 

  5. Hsu KL, Chou FF, Shern JY, Yang AD. Suprahepatic gallbladder with agenesis of the right lobe of the liver: report of a case. J Formos Med Assoc 1994;93:320–323.

    PubMed  CAS  Google Scholar 

  6. Lee SJ, Choi JS, Lee JH, Lee SO, Han BH, Park BC et al. A case of agenesis of the right lobe of the liver. Korean J Intern Med 1993;8:114–117.

    PubMed  CAS  Google Scholar 

  7. d'Araujo JM, Coelho PS. Agenesis of the right lobe of the liver with supra-hepatic gallbladder. Acta Radiol 1992;33:81.

    PubMed  Google Scholar 

  8. Kanematsu M, Imaeda T, Yamawaki Y, Doi H. Agenesis of the right lobe of the liver: case report. Gastrointest Radiol. 1991;16:320–322. doi:10.1007/BF01887378.

    Article  PubMed  CAS  Google Scholar 

  9. Weichert RF 3rd, Cerise EJ, Travieso CR Jr. Atrophy of the right lobe of the liver: case report and review of the syndromes associated with atrophy or agenesis of the liver. Am Surg 1970;36:667–673.

    PubMed  Google Scholar 

  10. Harada N, Ohshima I, Asano T, Shinohara Y, Isono K. Right hepatic lobe agenesis associated with bile duct carcinoma. Abdom Imaging 1995;20:456–458. doi:10.1007/BF01213271.

    Article  PubMed  CAS  Google Scholar 

  11. Champetier J, Yver R, Letoublon C, Vigneau B. A general review of anomalies of hepatic morphology and their clinical implications. Anat Clin 1985;7:285–299. doi:10.1007/BF01784645.

    Article  PubMed  CAS  Google Scholar 

  12. Bertrand L, Janbon M, Negre E, Bertrand A. Agenesia of the right lobe of the liver. Hemorrhages caused by manifesting portal hypertension. (2 observations). Lyon Med 1962;94:419–434.

    PubMed  CAS  Google Scholar 

  13. Bohan E. Aplasia of right liver lobe with cholelithiasis. State Med J 1956;28:291–293.

    CAS  Google Scholar 

  14. Kinoshita H, Sakai K, Kubo S, Ohno K. Two cases of left-sided gallbladder associated with cholelithiasis: review of the literature in Japan. Osaka City Med J 1988;34:67–75.

    PubMed  CAS  Google Scholar 

  15. Southam JA. Left-sided gallbladder: calculous cholecystitis with situs inversus. Ann Surg 1975;182:135–137. doi:10.1097/00000658-197508000-00009.

    Article  PubMed  CAS  Google Scholar 

  16. Large AM. Left-sided gallbladder and liver without situs inversus. Arch Surg 1963;87:982–985.

    PubMed  CAS  Google Scholar 

  17. Ishibashi T, Sato A, Hama H, Oikawa H, Takahashi S, Sakamoto K et al. Liver scarring associated with congenital absence of the right hepatic lobe: CT and MR findings. J Comput Assist Tomogr 1995;19:997–1000. doi:10.1097/00004728-199511000-00031.

    Article  PubMed  CAS  Google Scholar 

  18. Kabiri el. H, Zidane A, Arsalane A, Atoini F. Right diaphragmatic eventration associated with dextrocardia, hypoplasia of the right lower pulmonary lobe, and agenesis of the inferior vena cava. J Thorac Cardiovasc Surg 2007;133:1380–1381. doi:10.1016/j.jtcvs.2006.12.054.

    Article  PubMed  Google Scholar 

  19. Merab A, Nasr B, Khouri KN, Saade B. Agenesis of the right liver lobe with agenesis of the right hemidiaphragm. J Med Liban 1971;24:287–293.

    PubMed  CAS  Google Scholar 

  20. Sinevich EE, Dzutsov NK, Lapin BP. Rare association of the right-sided lumbocostal diaphragmatic hernia with the agenesis of the lower lobe of the right lung. Vestn Khir Im I I Grek 1973;111:110–111.

    Google Scholar 

  21. Kovarik JL, Jensen NK. Congenital aplasia of the right hepatic lobe with right-sided diaphragmatic hernia and intestinal malrotation. Int Surg 1969;51:499–503.

    PubMed  CAS  Google Scholar 

  22. Haas GE, Harris JL, Segal LB. Situs inversus totalis with calculi in a left-sided gallbladder: Report of a case. J Am Osteopath Assoc 1984;83:718–720.

    PubMed  CAS  Google Scholar 

  23. Levin EL, Saksenberg R. Left-sided common bile duct and gallbladder in the absence of situs inversus. S Afr J Surg 1980;18:23–26.

    PubMed  CAS  Google Scholar 

  24. Renkes P, Blum A, Claviere C, Bazin C, Bigard MA, Regent D et al. Agenesis of the right lobe of the liver and portal hypertension. Gastroenterol Clin Biol 1995;19:309–312.

    PubMed  CAS  Google Scholar 

  25. Negre E, Pujol H, Thevenet A. Portal hypertension in agenesis of the right lobe of the liver. Presse Med 1962;70:2501–2504.

    PubMed  CAS  Google Scholar 

  26. Iannelli A, Facchiano E, Fabiani P, Sejor E, Bernard JL, Niezar E et al. Agenesis of the right liver: a difficult laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A 2005;15:166–169. doi:10.1089/lap.2005.15.166.

    Article  PubMed  Google Scholar 

  27. Abe H, Yamao M, Yukawa T, Kitahara T, Baba M, Miyakawa Y et al. A case of agenesis of the left hepatic lobe complicated with hypogenesis of the anterior segment of the right hepatic lobe. Nippon Shokakibyo Gakkai Zasshi. 2005;102:48–52.

    PubMed  Google Scholar 

  28. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 1995;180:101–125.

    PubMed  CAS  Google Scholar 

  29. Maeda N, Horie Y, Shiota G, Suou T, Andachi H, Kawasaki H. Hypoplasia of the left hepatic lobe associated with floating gallbladder: A case report. Hepatogastroenterology. 1998;45:1100–1103.

    PubMed  CAS  Google Scholar 

  30. Noritomi T, Watanabe K, Yamashita Y, Kitagawa S, Oshibuchi M, Shirakusa T. Left-sided gallbladder associated with congenital hypoplasia of the left lobe of the liver: A case report and review of literature. Int Surg 2004;89:1–5.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO, 63110, USA

    Ryan C. Fields & Steven M. Strasberg

  2. Mallinckrodt Institute of Radiology, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO, 63110, U.S.A.

    Jay P. Heiken

  3. Department of Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, Campus Box 8109, St. Louis, MO, 63110, U.S.A.

    Steven M. Strasberg

Authors
  1. Ryan C. Fields
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  2. Jay P. Heiken
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  3. Steven M. Strasberg
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Correspondence to Steven M. Strasberg.

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Fields, R.C., Heiken, J.P. & Strasberg, S.M. Biliary Injury After Laparoscopic Cholecystectomy in a Patient with Right Liver Agenesis: Case Report and Review of the Literature. J Gastrointest Surg 12, 1577–1581 (2008). https://doi.org/10.1007/s11605-008-0576-x

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  • DOI: https://doi.org/10.1007/s11605-008-0576-x

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