Rare Left Lobal Placing Gall Bladder Operation: A Case Report

Yıl 2022, Cilt: 3 Sayı: 2, 47 - 49, 08.09.2022

Ahmet Alyanak Merter Gülen Bahadır Ege

https://doi.org/10.51261/yiu.2022.00047

Öz

Situs viscerium inversus gall bladder located in left lobe of the liver LSG- woSVI is a rare congenital anomaly. This condition is mostly detected during surgery and therefore causes technical difficulties. Our case is 55 year old female patient with complaints of indigestion and bloating. In the ultrasound USG image, there were multıple Stones, the largest of which was 1 cm in diamater. However, left lobe localization could not be detected on imaging. On laparoscopy, it was observed that the falciform ligament was adhered to the left side under segment III. Our patient did not have total situs inversus. In oerder to avoid complications, unlike classical cholecystectomy, artery and duct clipping is an important detail after dissection of the gall bladder from the antegrade liver bed before clipping the cystic artery and cystic duct. In this case, we successfully performed laparoscopic antegrade cholecystectomy. We discharged the patient on post op day one without any problem.

Anahtar Kelimeler

Left gallbladder, laparoscopic cholecystectomy, case report, sinistrolation, ectopic gallbladder

Nadir Görülen Sol Lob Yerleşimli Safra Kesesi Operasyonu: Olgu Sunumu

Öz

Situs visserum inversus karaciğer sol lob yerleşimli safra kesesi LSGwoSVI , nadir görülen doğumsal bir anomalidir. Bu durum çoğunlukla ameliyat sırasında tespit edilir ve bu nedenle teknik açıdan zorluğa neden olur. Olgumuz 55 yaşında kadın hasta, hazımsızlık, şişkinlik şikayetleri olan hastanın ultrasound görüntüsünde en büyüğü 1 cm çapında multıple taşları vardı. Ancak sol lob yerleşimi görüntülemede tespit edilememişti. Laparoskopide segment III altında falsiform ligamanın sol tarafında yapışık olduğu görüldü. Hastamızda total situs inversus yoktu. Komplikasöyonlardan kaçınmak için, klasik kolesistektomiden farklı olarak, sistik arter ve sistik kanal klipslenmeden önce safra kesesinin antegrad karaciğer yatağından diseksyonu yapıldıktan sonra arter ve kanal klipslenmesi önemli bir ayrıntıdır. Bu olguda da biz laparoskopik antegrad kolesistektomi ameliyatını başarı ile uyguladık. Post op 1. Günde hastayı sorunsuz olarak taburcu ettik.

Anahtar Kelimeler

Sol safra kesesi, laparoskopik kolesistektomi, olgu sunumu, sinistrolasyon, ektopik safra kesesi

Kaynakça

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