Document Detail

Sinistroposition of the gallbladder and common bile duct.
MedLine Citation:
PMID:  15908339     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Despite its rare incidence, few cases of left-side gallbladder have been already published. METHODS: We reported herein the case of a 29-year-old man with a left liver tumor in whom left lateral bisegmentectomy was mandatory. It represents the first description of a sinistroposition of both gallbladder and common bile duct. RESULTS: Surgical exploration revealed a left-side gallbladder, located under the left lobe of the liver. During hepatic parenchyma dissection at the left side of the round ligament and the Rex recessus, the common bile duct was injured. Complete separation of hepatic pedicle structures showed that the upper biliary convergence passed on the left side of the Rex recessus before reaching the hepatoduodenal ligament. CONCLUSION: Only careful dissection of the hepatoduodenal ligament up to Rex recessus level prior to liver parenchyma resection could avoid biliary tract injury during left lobectomy.
Bai-Yong Shen; Jean-Marc Regimbeau; Hong-Wei Li
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Publication Detail:
Type:  Case Reports; Journal Article; Retracted Publication    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  4     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-23     Completed Date:  2005-07-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  313-5     Citation Subset:  IM    
Department of Surgery, Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025, China.
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MeSH Terms
Abdominal Pain / diagnosis,  etiology
Abnormalities, Multiple / diagnosis*,  surgery
Anastomosis, Roux-en-Y
Carcinoma, Hepatocellular / diagnosis*,  surgery
Common Bile Duct / abnormalities*,  embryology
Follow-Up Studies
Functional Laterality
Gallbladder / abnormalities*,  embryology
Liver Neoplasms / pathology*,  surgery
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler
Retraction In:
Hepatobiliary Pancreat Dis Int. 2005 Aug;4(3):421   [PMID:  16136721 ]

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