Challenging intrahepatic laparoscopic cholecystectomy: a case report.

J Surg Case Rep

Department of Surgery, Breast, Endocrine and Laparoscopic Surgery, King Abdullah Bin Abdulaziz University Hospital Princess Norah university, Airport Road, King Khalid International Airport, Riyadh 11564, Riyadh Province, Saudi Arabia.

Published: August 2025


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Article Abstract

There have been reports of gallbladders in several ectopic locations. A gallbladder that is intrahepatic is one that is located along the anterior inferior right lobe of the liver or within the liver parenchyma. A 39-year-old male patient presented with symptoms that led to a gallbladder origin and was worked up using ultrasonography, which confirmed the presence of a contracted gallbladder with multiple stones. The patient was booked electively for a laparoscopic cholecystectomy. Diagnostic laparoscopy was utilized and revealed only the lower end of the gallbladder, while the rest was embedded within the liver parenchyma. After resection, the gallbladder was sent to pathology and came back as chronic cholecystitis. The patient was discharged with an unremarkable postoperative period. Intrahepatic gallbladders can be very challenging to locate during a laparoscopic procedure, but can still be managed without converting to an open technique.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396624PMC
http://dx.doi.org/10.1093/jscr/rjaf667DOI Listing

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