Khalid Obaid Alanazai, Zia Uddin Afridi, Turki Faheem Alshammari, Naif Matar Almutairi.
True left sided gall bladder: a surgical surprise.
Khyber Med Uni Med J Jun ;14(4):278-80.

INTRODUCTION: Left sided gallbladder is a rare anomaly & several variants exist. The condition cannot be diagnosed pre-operatively by most of the radiological modalities and it can take the operating surgeon, by surprise. CASE PRESENTATION: A young lady with symptomatic gallstones was unexpectedly found to have a left sided gallbladder during laparoscopic cholecystectomy. Though, her routine preoperative work up did not show anything abnormal, as is usual in such anatomical variation. She was successfully managed by laparoscopic cholecystectomy by modifying the camera angle & the dissection technique.  CONCLUSION: The anatomical knowledge of the various structures & to timely recognize the variations is very important to avoid injury in such cases. The operating technique may need to be modified for a safe & successful outcome.

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