Abstract
Background: The conditions that can make a laparoscopic cholecystectomy “difficult” include cirrhosis, anatomical anomalies, and acute and chronic inflammation. Anatomical anomalies of the biliary tree can occur in up to 25% of patients. Failure to recognize abnormal anatomy can have catastrophic consequences for patients, including transection of the common bile duct. The objective of this case series is to highlight the increasing practice of abandoning cholecystectomy when an unexpectedly difficult gallbladder is encountered.
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