Yıl: 2022 Cilt: 28 Sayı: 4 Sayfa Aralığı: 557 - 561 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.09274 İndeks Tarihi: 10-05-2023

Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review

Öz:
Anatomic variations and congenital anomalies involving the gallbladder position, shape, and number are frequently encountered on routine abdominal imagings and at surgery. However, most have no clinical significance, but their recognition is important because they may predispose to gallbladder diseases, serve as a potential source of confusion and diagnostic pitfalls for radiologists and surgeons, and increase the risk of inadvertent injury during biliary tract surgery or intervention. We observed an intra-mesocolic gallbladder found unexpectedly during the cholecystectomy in a 65-year-old male patient who was being operated on for acute calculous cholecystitis. An abdominal ultrasonography and computed tomography scan reported no anomalous or malpositioned gallbladder pre-operatively. As the location of this organ could not be definitely clarified in his previous operation elsewhere, we performed an explorative laparotomy. There was no gallbladder at the normal position. The organ was found embedded deeply within the proximal portion of the transverse mesocolon, and then it was successfully excised. We established the diagnosis of an ectopic gallbladder in mesocolic position.
Anahtar Kelime:

Komple mezokolon içine gömülü safra kesesi yerleşim yeri anomalisi: Nadir bir olgu sunumu ve literatürün gözden geçirilmesi

Öz:
Safra kesesinin yerleşim yeri, şekil ve sayısına dair anatomik varyasyonlarına ve doğumsal anomalilerine rutin görüntüleme yöntemleri ve cerrahi sırasında sıklıkla rastlanmaktadır. Pek çoğunun klinik bir önemi bulunmamasına karşın bilinmeleri önem taşımaktadır. Çünkü bunlar safra kesesi hastalıklarına yatkınlık oluşturabilirler, radyologlar ve cerrahlar için kafa karışıklığı ve tanısal hatalar için muhtemel bir zemin yaratabilirler ve safra yolları cerrahisi veya girişimleri sırasında istenmeyen yaralanma riskini artırabilirler. Biz 65 yaşında erkek bir hastada akut taşlı kolesistit tanısıyla kolesistektomi yapıldığı sırada beklenmedik bir biçimde mezokolon içine gömülü bir safra kesesiyle karşılaştık. Ameliyat öncesi dönemde çekilen karın ultrasonografisi ve bilgisayarlı tomografide safra kesesi yerleşim yeri anomalisi rapor edilmemişti. Hastanın daha önceden başka hastanede geçirdiği ameliyatta, safra kesesinin yeri tam olarak belirlenemediği için biz de eksploratif laparatomi yapmaya karar verdik. Operasyonda safra kesesinin normal yerinde olmadığı görüldü. Safra kesesinin transvers mezokolonun proksimal bölümü içinde derinde gömülü olduğu tespit edildi ve safra kesesi başarılı bir şekilde eksize edildi. Biz de böylelikle mezokolik pozisyonda ektopik safra kesesi tanısını koymuş olduk.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA Teke Z, Akcam A (2022). Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. , 557 - 561. 10.14744/tjtes.2020.09274
Chicago Teke Zafer,Akcam Atilgan Tolga Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. (2022): 557 - 561. 10.14744/tjtes.2020.09274
MLA Teke Zafer,Akcam Atilgan Tolga Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. , 2022, ss.557 - 561. 10.14744/tjtes.2020.09274
AMA Teke Z,Akcam A Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. . 2022; 557 - 561. 10.14744/tjtes.2020.09274
Vancouver Teke Z,Akcam A Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. . 2022; 557 - 561. 10.14744/tjtes.2020.09274
IEEE Teke Z,Akcam A "Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review." , ss.557 - 561, 2022. 10.14744/tjtes.2020.09274
ISNAD Teke, Zafer - Akcam, Atilgan Tolga. "Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review". (2022), 557-561. https://doi.org/10.14744/tjtes.2020.09274
APA Teke Z, Akcam A (2022). Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. Ulusal Travma ve Acil Cerrahi Dergisi, 28(4), 557 - 561. 10.14744/tjtes.2020.09274
Chicago Teke Zafer,Akcam Atilgan Tolga Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.4 (2022): 557 - 561. 10.14744/tjtes.2020.09274
MLA Teke Zafer,Akcam Atilgan Tolga Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.4, 2022, ss.557 - 561. 10.14744/tjtes.2020.09274
AMA Teke Z,Akcam A Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(4): 557 - 561. 10.14744/tjtes.2020.09274
Vancouver Teke Z,Akcam A Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(4): 557 - 561. 10.14744/tjtes.2020.09274
IEEE Teke Z,Akcam A "Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.557 - 561, 2022. 10.14744/tjtes.2020.09274
ISNAD Teke, Zafer - Akcam, Atilgan Tolga. "Complete mesocolic malposition of the gallbladder: An unusual case report with literature’s review". Ulusal Travma ve Acil Cerrahi Dergisi 28/4 (2022), 557-561. https://doi.org/10.14744/tjtes.2020.09274