Coexistence of adenomyomatosis in a left- sided gallbladder: a case report
Dublin Core
Title
Coexistence of adenomyomatosis in a left- sided gallbladder: a case report
Subject
Left-sided gallbladder, Adenomyomatosis, Congenital anomaly, Cholecystectomy, Hepatocellular
carcinoma
carcinoma
Description
Abstract
Introduction The coexistence of gallbladder (LSG) and adenomyomatosis (ADM) is extremely uncommon
presenting a novel clinical dilemma that has not been previously documented. LSG refers to a anomaly where the
gallbladder is situated to the left of the round ligament deviating from its usual position. This anomaly is rare, with
reported occurrences ranging between 0.04% and 1.1%. Identifying LSG before surgery poses challenges. It is often
discovered incidentally during procedures necessitating surgical expertise to safely manage anatomical variations.
Case presentation We report an old man with a history of hepatitis C, carcinoma and liver cirrhosis complained
of sudden epigastric pain. A CT scan revealed the presence of an LSG, which’s a congenital anomaly. During the
cholecystectomy procedure surgeons encountered variations and observed the existence of ADM complicating the
operation. The patient recovered smoothly post surgery.
Discussion This case shows how complicated it can be to diagnose and treat the combination of LSG and ADM.
Identifying these conditions before surgery is tough so surgeons often have to adjust their approach during the
operation. Although laparoscopic cholecystectomy for LSG is usually safe it requires care to avoid problems like
bile duct injuries. For patients at risk a conservative treatment approach might be better. In cases where surgery is
necessary surgeons need to adapt their techniques to address the unique anatomical issues.
Conclusion The combination of LSG and ADM in a setting poses an intricate challenge. Surgeons need to be ready
to recognize and address these abnormalities effectively for the well being of the patient and favorable results. This
particular case highlights the importance of staying alert and flexible during surgery when dealing with gallbladder
variations.
Keywords Left-sided gallbladder, Adenomyomatosis, Congenital anomaly, Cholecystectomy, Hepatocellular
carcinoma
Introduction The coexistence of gallbladder (LSG) and adenomyomatosis (ADM) is extremely uncommon
presenting a novel clinical dilemma that has not been previously documented. LSG refers to a anomaly where the
gallbladder is situated to the left of the round ligament deviating from its usual position. This anomaly is rare, with
reported occurrences ranging between 0.04% and 1.1%. Identifying LSG before surgery poses challenges. It is often
discovered incidentally during procedures necessitating surgical expertise to safely manage anatomical variations.
Case presentation We report an old man with a history of hepatitis C, carcinoma and liver cirrhosis complained
of sudden epigastric pain. A CT scan revealed the presence of an LSG, which’s a congenital anomaly. During the
cholecystectomy procedure surgeons encountered variations and observed the existence of ADM complicating the
operation. The patient recovered smoothly post surgery.
Discussion This case shows how complicated it can be to diagnose and treat the combination of LSG and ADM.
Identifying these conditions before surgery is tough so surgeons often have to adjust their approach during the
operation. Although laparoscopic cholecystectomy for LSG is usually safe it requires care to avoid problems like
bile duct injuries. For patients at risk a conservative treatment approach might be better. In cases where surgery is
necessary surgeons need to adapt their techniques to address the unique anatomical issues.
Conclusion The combination of LSG and ADM in a setting poses an intricate challenge. Surgeons need to be ready
to recognize and address these abnormalities effectively for the well being of the patient and favorable results. This
particular case highlights the importance of staying alert and flexible during surgery when dealing with gallbladder
variations.
Keywords Left-sided gallbladder, Adenomyomatosis, Congenital anomaly, Cholecystectomy, Hepatocellular
carcinoma
Creator
Mohamed Tolba1
, Hadeer Hafez2* and John Adel3
, Hadeer Hafez2* and John Adel3
Source
https://doi.org/10.1186/s12245-024-00785-0
Date
2025
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Mohamed Tolba1
, Hadeer Hafez2* and John Adel3, “Coexistence of adenomyomatosis in a left- sided gallbladder: a case report,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12603.