A case report of laparoscopic cholecystectomy of acute gangrenous cholecystitis with hypoplasia of medial segment of the liver and Chilaiditi syndrome

• Published in: Tando Vol. 19; no. 1; pp. 102 - 107
• Main Authors: NAKASHIMA, Ken, KAWANO, Michikazu, IBUSUKI, Kazuhiko, UCHI, Shoji TANIG, KOGA, Kazumi, MUTO, Mitsuru, GOTOH, Takashi, SEKI, Takashi, YAMAMOTO, Atsushi, MUKAI, Motoi
• Format: Journal Article
• Language: Japanese
• Published: Japan Biliary Association 2005
• Subjects: Chilaiditi syndrome; Chilaiditi症候群; hypoplasia of medial segment of the liver; laparoscopic cholecystectomy; 肝内側区域低形成; 腹腔鏡下胆嚢摘出手術
• ISSN: 0914-0077; 1883-6879
• DOI: 10.11210/tando1987.19.1_102

A 70-year-old man was admitted to our hospital for liver dysfunction and acute cholecystitis. Abdominal X-ray and computed tomography revealed wall thickness of the gallbladder and hypoplasia of medial segment of the liver associated with Chilaiditi syndrome. In order to improve the patient-condition, PTGBD was performed at the back of the patient via intercostal approach, because of his anatomical location of the gallbladder. After four days of antibiotics-prescribing, laparoscopic cholecystectomy was successfully performed by choosing the adequated site of working ports.