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October 27, 1951


JAMA. 1951;147(9):849-851. doi:10.1001/jama.1951.73670260004014a

Although several anomalies of the gallbladder are well known, a localization in the left upper quadrant of the abdomen, in the absence of situs inversus, is a rarely described situation of sufficient roentgenologic, medical, and surgical interest to merit a review of 11 reported cases and the account of a 12th. The case to be presented is the fourth found preoperatively by radiographic methods.

REPORT OF A CASE  A male office worker, 28, was examined because of flatulence and chronic upper-abdominal distress. The patient's complaint was first recorded three years prior to the present examination. At that time there was a history of moderate weight loss and pain in the upper abdomen. A roentgen examination of the gallbladder was made. The patient was then informed by a physician that the gallbladder failed to appear on the radiograms and that it was nonfunctioning. Since that time the patient has repeatedly experienced