Colecistectomia com vesícula biliar do lado esquerdo (sinistroposição): Relato de caso

Abstract

The gallbladder is an intra-abdominal organ with the function of storing the bile produced by the liver, whose usual location is below the right hepatic lobe lateral to the sickle cell ligament. Cholecystitis consists of inflammation of the gallbladder, withthe main origin being calculus gallbladder disease. The gallbladder located medially to the sickle cell ligament (sinistroposition) is a rare condition, corresponding to about 0.3% in a study conducted with patients undergoing video laparoscopic cholecystectomy. The diagnosis of this condition isusually made incidentally during imaging exams or during intra-abdominal surgeries. Recognizing this condition will bringthe surgeon the expertise to deal with eventual adversity. Commonlywhen faced with this condition, the surgeon has to perform a broader dissection, perform intraoperative cholangiography for even conversion to open surgery for better recognition of the anatomy.