Abstract
A very rare case of the left sided gallbladder with congenital cystic dilatation of the common bile duct and anomalous arrangement of pancreatobiliary duct is reported.
A 24-year-old woman was admitted to our hospital for epigastralgia and vomiting in February 1998. Blood examination revealed liver damage. Preoperative images such as CT, ultrasonography, and ERCP, showed cystic dilatation of the common bile duct, and anomalous arrangement of pancreatobiliary duct, with the left sided gallbladder.
The operative findings demonstrated that gallbladder located at the lateral segment of the left lobe of the liver, and the cystic duct connected with left side of the common bile duct. Cholecystectomy, resection of the cystic dilatation and reconstruction with hepatico-jejunostomy were performed. Histological examination showed inflammatory change and no evidence of malignancy.
Until 1998, only 3 cases of the left sided gallbladder with congenital cystic dilatation of the common bile duct and anomalous arrangement of pancreatobiliary duct have been reported in the Japanese literature.
