TY - JOUR TT - Abnormal localization of gallbladder and atresia of superior part of duodenum AU - Kocabıyık, Necdet AU - Yazar, Fatih AU - Yalçın, Bülent AU - Ozan, Hasan PY - 2009 DA - May DO - 10.17343/sdutfd.16720 JF - Medical Journal of Süleyman Demirel University JO - Med J SDU PB - Süleyman Demirel University WT - DergiPark SN - 1300-7416 SP - 38 EP - 41 VL - 15 IS - 1 LA - en KW - Karaciðer KW - safra kesesi KW - duodenal atrezi KW - geliþimsel anomali N2 - Süleyman Demirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2008 Mart; 15 (1) Abnormal localization of gallbladder and atresia of superior part of duodenum Necdet Kocabıyık, Fatih Yazar, Bülent Yalçın, Hasan Ozan Gülhane Askeri Tıp Akademisi, Anatomi Ana Bilim Dalı Özet Safra kesesinin anormal lokalizasyonu ve duodenum.un superior parçasının atrezisi Elli yaşında erkek bir kadavrada, duodenum.un superior parçasının atrezisiyle birlikte safra kesesinin de anormal lokalizasyonlu olduğunu gördük. Karaciğerin sağ lobunun alt tarafında 58x49x36 mm boyutlarında bir kavite vardı. Bu kavitenin derininde, safra kesesi karaciğere gömülü olarak bulunuyordu. Bu kavite tamamen omentum majus.un bir bölümüyle örtülüydü. Omentum majus kaldırıldığında, kavitenin mideye bakan tarafında pilorik ostium, duodenuma bakan tarafında ise duodenal ostium görüldü. Kavitenin bu bölgesine uyan duodenumun superior parçasının atrezik olduğu saptandı. Bu kadavranın normal yaşamında, duodenum.un superior parçası ve bulbus duodeni.nin yokluğu nedeniyle, mide içeriği pilorik ostium aracılığıyla kaviteye, duodenum ostiumu aracılığıyla da duodenuma geçtiği varsayıldı. Farklı yerleşim gösteren safra kesesi, deneyimsiz cerrahlar, gastroenterologlar ve radyologlar tarafından yapılan laparoskopik girişimler ve radyolojik değerlendirmeler sırasında hataya yol açabilir. Anahtar kelimeler: Karaciğer, safra kesesi, duodenal atrezi, gelişimsel anomali Abstract This article presents abnormal localization of gallbladder with atresia of superior part of duodenum in a 50 year-old-male cadaver. On inferior side of right lobe of the liver was a cavity with diameters of 58x49x36 mm. At the bottom of this cavity the gallbladder was embedded the liver. This cavity was completely covered with a part of the greater omentum. When the greater omentum was removed, we observed ostium of pylor on the gastric side and the ostium of duodenum on the duodenal side of the cavity. It was observed that there was atresia of superior part of duodenum corresponding to the region of the cavity. In the normal life of this cadaver, because of the absence of superior part of duodenum and bulbus duodeni, gastric content was pouring into this cavity through the pyloric ostium and into duodenum through the duodenal ostium of the cavity. 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