Laparoscopic concomitant cholecystectomy and splenectomy for true left-sided gall bladder with hereditary spherocytosis

Author:

Saraf Vineeth Bhargav1,Rege Sameer Ashok1

Affiliation:

1. Department of General Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India

Abstract

A true left-sided gall bladder (LSG) is a rare finding, is mostly discovered incidentally and often presents with symptoms similar to those of a normally positioned gall bladder. The diagnosis in most cases is intraoperative. The surgical technique is frequently difficult, with an increased risk of intraoperative injuries and conversion to open surgery. In this case report, we describe a rare scenario of a young male with hereditary spherocytosis who presented with jaundice and splenomegaly. The diagnosis of LSG was made by chance during pre-operative imaging. The patient was successfully managed with a splenectomy and a cholecystectomy via the minimal access approach in the same setting.

Publisher

Medknow

Subject

Surgery

Reference4 articles.

1. Combined laparoscopic splenectomy and cholecystectomy for the treatment of hereditary spherocytosis:Is it safe and effective?;Caprotti;Surg Laparosc Endosc Percutan Tech,1999

2. Concomitant laparoscopic splenectomy and cholecystectomy;Sasaki;Surg Laparosc Endosc Percutan Tech,2010

3. Management of incidental left-sided gallbladder;Zografos;JSLS,2009

4. Left-sided gallbladder: A diagnostic and surgical challenge;Wong;ANZ J Surg,2001

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