Journal Information
Vol. 80. Issue 1.
Pages 109-110 (January - March 2015)
Vol. 80. Issue 1.
Pages 109-110 (January - March 2015)
Clinical image in Gastroenterology
Open Access
An uncommon gallbladder location associated with polycystic liver
Una localización poco frecuente de la vesícula biliar asociada con el hígado poliquístico
V.J. Alegre Salles
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Corresponding author at: University of Taubat, Medicine, Avenue Tiradentes, 280 Taubat, San Paul 12030180 Brazil. Phone: +550121536813888; Home: +550121536316061; fax: +55011536316061.
, C.E. Azevedo Ferreti, M.M. Natrielli de Almeida
Servicio de Cirugía General y Digestiva, Hospital Regional Vale del Paraíba, Taubaté, San Pablo, Brazil
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The gallbladder is located between segments IV and V of the liver in a bare area, not covered by the visceral peritoneum. An 81-year-old woman presented with chronic abdominal pain in the epigastrium and right hypochondrium, associated with weight loss and an abdominal tumor. A CT scan revealed a polycystic liver with a massive hepatic cyst in the right lobe (fig. 1).

Figure 1.

Abdominal computed tomography scan showing voluminous hepatic cysts.


Surgical exploration identified the gallbladder surrounded by the thick serosal layer of a hepatic cyst (fig. 2).

Figure 2.

Subcapsular position of the gallbladder.


The atypical location of the gallbladder alerted the surgical team to the possibility of a biliary tract abnormality, which was ruled out after performing an intraoperative cholangiography. Polycystic liver is estimated to occur in approximately 5% of the population. Exaggerated growth of the cysts can cause abdominal pain and distension, dyspepsia, early satiety, dyspnea, and a visible or palpable abdominal tumor. The cysts do not usually reach the biliary or vascular structures, but if that occurs, it can compress the biliary tract and cause jaundice in up to 9% of the patients.

Ethical responsibilitiesProtection of persons and animals

The authors declare that no experiments were performed on humans or animals for this study.

Data confidentiality

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Financial disclosure

No financial support was received in relation to this study/article.

Conflict of interest

The authors declare that there is no conflict of interest.

Please cite this article as: Alegre Salles VJ, Azevedo Ferreti CE, Natrielli de Almeida MM. Una localización poco frecuente de la vesícula biliar asociada con el hígado poliquístico. Revista de Gastroenterología de México. 2015;80:109–110.

Copyright © 2014. Asociación Mexicana de Gastroenterología
Revista de Gastroenterología de México
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