Abstract
A very rare case of left-sided gallbladder was experienced. During surgery for a Stage IV gastric cancer in a 62-year-old woman, a left-sided gallbladder of Gross II type was found, in which the gallbladder fossa was placed on the left side of the ligamentum teres of the liver and the cystic duct opened on the left side of the common bile duct. Forty-seven cases reported in Japan including this case were reviewed. The male-to-female ratio was 19: 28, whit an average age of 54.9 years. Their chief complaints were predominantly epigastralgia due to complications and this disease lacked in own characteristic symptoms, accordingly, preoperative correct diagnosing rate was as low as 46%. The most common complication was gallstone in 30 cases (64%), followed by hepatic diseases in 26 (55%), malignant tumors in 11(23%), and intestinal malformation and others in 10 (40%), in this order. Of these 47 cases 19 (40%) were thought of congenital malformation. Thirty-three (77%) cases were operated on for complications. This disease can be diagnosed by means of noninvasice imaging methods such as CT and ultrasonography. In the treatment of the disease careful attention should be paid for possible complications.
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