A case in which laparoscopic cholecystectomy was performed for acute cholecystitis with right ligamentum teres hepatis

Abstract

We report a case of right ligamentum teres hepatis detected in emergency cholecystectomy performed for acute cholecystitis without cholecystolithiasis. A 51-year-old woman with a complaint of upper abdominal pain underwent cholecystectomy for acute cholecystitis without cholecystolithiasis, starting with the normal four-port method. The neck of the gallbladder widely adhered to the gallbladder bed on the left side of the ligamentum teres hepatis, and the body adhered to membranous tissue on the right side of the liver. We diagnosed the case as acute cholecystitis with right ligamentum teres hepatis. Because a direct approach to the neck of the gallbladder was difficult, we exfoliated the gallbladder normogradely from the fundus. The cystic duct was separated and resected after cholangiography. In this case, a gallbladder bent in cervical part and the wall of the body-fundus thickened it in edema from this part markedly. The postoperative course was good. It was suggested that the gallbladder bent it for right ligamentum teres hepatis case by attachment site of gallbladder and might become cholecystitis.