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American Journal of Oral Medicine and Radiology

Volume 5, Issue 2, 2018
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
Journal Home page
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Abstract
Title
RANDOMISE VARIATION OF HEPATOBILIARY SYSTEM: EMBEDDED GALLBLADDER INTO THE LIVER
Author
Serdar Yormaz*, Huseyin Yılmaz, Husnu Alptekin, Ilhan Ece, Mustafa Sahin.
Email
serdaryormaz@gmail.com
keyword
gallbladder, intrahepatic, Embedded.
Abstract
The occurrence of gallbladder into liver is well-documented incidental pathology but the underlying aetiology is not clear. Here, we describe a randomize anomaly of gallbladder in a 49 year old man with a known history of cholelithiasis, was admitted with a progressive pain over 6 months, without fever, or another symptoms where a gallbladder was found embedded into the liver. Ultrasonographic control described the presence of stones in the gallbladder. On first operation the gallbladder unsighted giving the impression of an agenesia and the bile duct was not approachable, at that time patient was referred to us perioperatively .In the second look we did not see the gallbladder and cystic duct too ,after a reflection area incision of liver, it was found that gallbladder was encapsulated and located in the liver. Gallbladder stones were palpated; after dissection of the area, then a difficult cholecystectomy was performed followed by cholangiography. The patient had a totally uneventful postoperative course. Therefore, in incidental cases, whatever the final diagnosis turns to be, either rudimenter or embedded, cholangiography and incision of reflective area can be useful for the final management of the patient.
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