Evidence map›Paper›PMID 42724834›Full record

ArticleAnnals of medicine and surgery (2012)2026

Left-sided gallbladder missed on ultrasonography: a case series and proposed intraoperative strategy.

Yogendra Poudel, Kisan Adhikari, Pramisha Poudel, Yogesh Poudel, Ishwor Paudel, Manisha Aryal, Alisha Lamichhane, Bipin Bashyal, Ashish Pun

Abstract read
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Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yogendra PoudelNepal Medical College and Teaching Hospital, AttarKhel, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-9973-2898
Kisan AdhikariLumbini Medical College and Teaching Hospital, Prabhas, Palpa, Nepal.ORCID https://orcid.org/0009-0001-5198-6354
Pramisha PoudelNobel Medical College and Teaching Hospital, Biratnagar, Morang, Nepal.ORCID https://orcid.org/0009-0006-3425-6153
Yogesh PoudelChitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal.ORCID https://orcid.org/0009-0009-1438-482X
Ishwor PaudelNational Academy of Medical Science, Kathmandu, Nepal.ORCID https://orcid.org/0009-0006-0005-2806
Manisha AryalSahid Gangalal Hospital, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-8134-4758
Alisha LamichhaneNepal Medical College and Teaching Hospital, AttarKhel, Kathmandu, Nepal.ORCID https://orcid.org/0009-0009-9094-9204
Bipin BashyalNepal Medical College and Teaching Hospital, AttarKhel, Kathmandu, Nepal.ORCID https://orcid.org/0009-0000-8727-8408
Ashish PunNepal Medical College and Teaching Hospital, AttarKhel, Kathmandu, Nepal.ORCID https://orcid.org/0000-0001-9807-1357

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Left-sided gallbladder (LSG) is a rare congenital anomaly that may not be detected by routine ultrasonography. Although uncommon, it has important implications for surgical safety due to associated variations in biliary anatomy. Case presentation: We report three patients with symptomatic cholelithiasis in whom preoperative ultrasonography suggested normal anatomy. In all cases, LSG was identified intraoperatively. Two patients underwent successful laparoscopic cholecystectomy following careful anatomical reassessment, while one required conversion to open surgery due to difficulty in safely identifying biliary structures. Discussion: These cases highlight the limitations of ultrasonography in identifying positional anomalies and emphasize the importance of intraoperative awareness. LSG can distort the usual anatomical landmarks and increase the risk of bile duct injury. A careful, anatomy-first approach is essential when such variations are encountered. Conclusion: Normal ultrasonography does not exclude anatomical variation. Safe surgical outcomes depend on early recognition, cautious dissection, and sound intraoperative judgment.

Indexed as

biliary anatomycholelithiasislaparoscopic cholecystectomyleft-sided gallbladder

Identifiers

PMID42724834
PMCPMC13561183

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.