IJAR.2016.470
Type of Article: Original Research
Volume 5; Issue 1 (January 2017)
Page No.: 3338-3341
DOI: https://dx.doi.org/10.16965/ijar.2016.470
INCIDENCE OF FLOATING / WANDERING GALL BLADDERS: A CADAVERIC STUDY AND ITS CLINICAL IMPLICATIONS
Tallapaneni sreekanth.
MD,Associate Professor, Department of Anatomy, Shadan Institute of Medical Sciences, Teaching Hospital & Research Center, Peerancheeruvu, Near Arramaisamma Temple, Hyderabad, Telangana, India.
Address for Correspondence: Dr. Tallapaneni Sreekanth, Associate Professor, Department of Anatomy, Shadan Institute of Medical Sciences, Teaching Hospital & Research Center, Peerancheeruvu, Near Arramaisamma Temple, Hyderabad, Telangana, India. Mobile No: 70934 49309, 91006 83056. E-Mail: anatomysreekanth18@yahoo.com
ABSTRACT:
Background and Aims: A floating gall bladder is a rare anatomical variation. It is most of the times presented as a case report. A gallbladder that is completely covered with peritoneum is called a floating gall bladder or wandering gallbladder. It is usually suspended from the inferior surface of the liver by a fold of mesentery. The non-fixed gallbladder can undergo complete torsion or incomplete torsion in a clockwise or anti-clockwise directions. The present study finding out the incidence of floating / wandering gallbladder is the first of its kind. Only if aware, the medical personnel can take up the unusual situations with confidence rather that surprise lessening the morbidity and mortality rates in treating them.
Materials and Methods: The present study was carried on 45 formalin fixed cadaveric [40 Male and 5 Female] livers.
Results: In the present study 2 (4.44%) floating gall bladders were identified after observing the inferior surfaces of 45 formalin fixed liver specimens. One in Male and other in a Female Cadaver.
Conclusion: A floating gall bladder is a rare variation occurring at the inferior surface of the liver. A variant anatomy illuminates embryology. It is one of the reasons for acute cholecystitis, torsion and wandering abdominal pain. The mortality rates for patients with a necrotic gallbladder is 10 times higher. The knowledge of this variation is necessary for the anatomists, gastro hepatic surgeons and radiologists.
Key Words: Floating Gallbladder, Inferior Surface, Torsion.
REFERENCES:
- Vakili K, Pomfret E. Biliary Anatomy an Embryology. Surg Clin N Am. 2008;88:1159-74.
- Siva Nageswara Rao Sundrara Setty, Raja Sekhar Katikireddi. Cadaveric floating Gallbladder and its Clinical Significance – A Case Report.Int. J. Cur Res. Rev.2013;5(23):53-54.
- Tarhan OR, Barut I, Dinelek H: Gallbladder volvulus: review of the literature and case report of a case. Turk J Gastroenterol. 2006;17(3):209-211.
- Nicholas JM: Image of the month: Gallbladder volvulus. Arch Surgery. 2002;137.
- Atahan K, Gur S, Tarcan E, Cokmez A, Durak E: Torsion of the gallbladder. Turk J Gastroenterol.2007;18(2):129-130.
- T Ueo, S Yazumi, S Okuyama, Y Okada, T Oono, M Watanabe, Y Umehara, H Honjo, Y Mitumoto, T Mori, H Tomioka, T Mogitani, S Mizuno, T Chiba, S Shimizu. Acute cholecystitis due to strangulation of a floating gall bladder by a lesser omentum. Abdom imazing. 2007;32:348-350.
- Chiow AKH, Ibrahim s, Tay KH: torsion of the gallbladder: a rare entity. Annals academy of medicine Singapore. 2007;36(8):705-706.
- Stieber AC, Bauer JJ: Volvulus of the gallbladder. Am J 1983;78:96-98.
- Lyons KP, Challa S, Abrahm D, Kennelly BM. Floating gallbaladder: aquestionable prelue to torsion: a case report. Clin. Nucl. Med. 2000;25(3):182-3.
- A Kabaroudis, B. Papaziogas, K. Atmatzidis, E. Argiriadou, A. Paraskevas, I. Galanis, T. Papaziogas. Hypoplasia of the Right Hepatic Lobe Combined with a Floating Gallbladder. Acta Chir Belg, 2003;103:425-427.
- Wen-Chich Wu, Gar-Yang Chau, Chien-Wei, Su Jaw-Ching Wu, Wandering abdominal pain due to a floating gallbladder. Digestive and Liver Disease 45(2013) e13.
- Morales AM, Tyroch AH. Wandering gallbladder. American Jornal of Surgery. 2008;196:240-41.
