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KMID : 0882420100780030348
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Korean Journal of Medicine
2010 Volume.78 No. 3 p.348 ~ p.351
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A left-sided gallbladder accompanying atrophy of the lateral inferior segment of the liver
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Lee Jae-Nam
Han Byung-Hoon
Lee Jee-Sook
Shin Eun-Kyung
Choi Pyoung-Rak
Yun Byung-Cheol
Lee Sang-Uk
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Abstract
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A left-sided gallbladder occurring in the absence of situs inversus is a rare anomaly. This anomaly was found in a 50-year-old man without any evidence of pancreatobiliary disease. Epigastric transverse ultrasonography showed a normal gallbladder with its fundus extending past the left lateral end of the liver. Abdominal computed tomography (CT) revealed that the gallbladder was located beneath the quadrate lobe (S4) of the liver to the left of the left branch of the portal vein, and S4 was hypertrophied to compensate for atrophy of the lateral inferior segment (S3) of the liver. Magnetic resonance cholangiopancreatography (MRCP) showed that the gallbladder and pancreatobiliary tree were normal, and that the cystic duct joined the common bile duct from the right side making a characteristic U-shaped hairpin bend.
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KEYWORD
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Gallbladder, Cystic duct, Deformity, Liver, Atrophy
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