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March 1964

Left-Sided Gallbladder: A Review of the Literature and a Report of a Case Associated With Hepatic Duct Carcinoma

Author Affiliations

Present address: Department of Surgery, St. Mary's Hospital, London, W.2, England (Dr. Newcombe).; Central Middlesex Hospital, London.

Arch Surg. 1964;88(3):494-497. doi:10.1001/archsurg.1964.01310210168027

A gallbladder lying on the left side of the falciform ligament is a rare anomaly. A survey of the literature has revealed only 23 previously reported cases.

The first published account was by Hochstetter (1886) who described this condition in three anatomical specimens. In each of these the cystic duct passed to the right under cover of the ligamentum teres to enter the common hepatic duct at its normal site.

Kehr (1902) gave the first description of the condition found accidentally at laparotomy. In this case the gallbladder was small with a short cystic duct emptying into the left hepatic duct.

Several reports derived from anatomical dissections followed (Dévé, 1902; Walton, 1912; Harris, 1926; Drechsel, 1930). These were essentially similar to Hochstetter's original specimens, and the illustrations show a sharply curving cystic duct entering the common duct on its right side.

Cholecystography was introduced in 1925, and the first case

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