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The Wrong Side: A Rare Case of Wandering Liver in a 78-Year-Old Man.

Sagar D, Hertan H - ACG Case Rep J (2015)

View Article: PubMed Central - PubMed

Affiliation: Montefiore Medical Center, Bronx, NY.

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Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1)... Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 µ/L, serum glutamic oxaloacetic transaminase (SGOT) 1,869 µ/L, and serum glutamic pyruvic transaminase (SGPT) 742 µ/L... Laparoscopic cholecystectomy and ERCP was performed for cholecystitis and choledocholithiasis, respectively... The position of liver changed from the right side to the left side of the abdomen, with the bile duct parallel to the pancreatic duct during cholecystectomy and ERCP... Preventive selective hepatopexy may be considered to prevent future complications of colonic obstruction or volvulus, but is generally not required... Wandering liver is usually associated with wandering gallbladder and gallbladder torsion requiring laparoscopic cholecystectomy, as in our patient... However, repeat CT after the procedure and 1 week later showed liver in the normal right-sided position... Author contributions: D... Sagar wrote the manuscript and is the article guarantor... Hertan edited the manuscript... Financial disclosure: None to report... Informed consent was obtained for this case report.

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Related in: MedlinePlus

Longitudinal and cross-sectional abdominal CT showing gallstones in the biliary tract with normal position of the liver and gallbladder.
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Figure 1: Longitudinal and cross-sectional abdominal CT showing gallstones in the biliary tract with normal position of the liver and gallbladder.

Mentions: A 78-year-old man was hospitalized with acute cholecystitis and choledocholithiasis. Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1). Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 µ/L, serum glutamic oxaloacetic transaminase (SGOT) 1,869 µ/L, and serum glutamic pyruvic transaminase (SGPT) 742 µ/L. MRI cholangiopancreatography revealed liver and gallbladder on the left side, with pancreas, duodenum, and spleen in normal anatomical position (Figure 2). The liver pedicle was distorted, with dilated common bile duct (CBD) lying parallel to the pancreatic duct. Laparoscopic cholecystectomy and ERCP was performed for cholecystitis and choledocholithiasis, respectively. The position of liver changed from the right side to the left side of the abdomen, with the bile duct parallel to the pancreatic duct during cholecystectomy and ERCP.


The Wrong Side: A Rare Case of Wandering Liver in a 78-Year-Old Man.

Sagar D, Hertan H - ACG Case Rep J (2015)

Longitudinal and cross-sectional abdominal CT showing gallstones in the biliary tract with normal position of the liver and gallbladder.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508943&req=5

Figure 1: Longitudinal and cross-sectional abdominal CT showing gallstones in the biliary tract with normal position of the liver and gallbladder.
Mentions: A 78-year-old man was hospitalized with acute cholecystitis and choledocholithiasis. Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1). Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 µ/L, serum glutamic oxaloacetic transaminase (SGOT) 1,869 µ/L, and serum glutamic pyruvic transaminase (SGPT) 742 µ/L. MRI cholangiopancreatography revealed liver and gallbladder on the left side, with pancreas, duodenum, and spleen in normal anatomical position (Figure 2). The liver pedicle was distorted, with dilated common bile duct (CBD) lying parallel to the pancreatic duct. Laparoscopic cholecystectomy and ERCP was performed for cholecystitis and choledocholithiasis, respectively. The position of liver changed from the right side to the left side of the abdomen, with the bile duct parallel to the pancreatic duct during cholecystectomy and ERCP.

View Article: PubMed Central - PubMed

Affiliation: Montefiore Medical Center, Bronx, NY.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1)... Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 µ/L, serum glutamic oxaloacetic transaminase (SGOT) 1,869 µ/L, and serum glutamic pyruvic transaminase (SGPT) 742 µ/L... Laparoscopic cholecystectomy and ERCP was performed for cholecystitis and choledocholithiasis, respectively... The position of liver changed from the right side to the left side of the abdomen, with the bile duct parallel to the pancreatic duct during cholecystectomy and ERCP... Preventive selective hepatopexy may be considered to prevent future complications of colonic obstruction or volvulus, but is generally not required... Wandering liver is usually associated with wandering gallbladder and gallbladder torsion requiring laparoscopic cholecystectomy, as in our patient... However, repeat CT after the procedure and 1 week later showed liver in the normal right-sided position... Author contributions: D... Sagar wrote the manuscript and is the article guarantor... Hertan edited the manuscript... Financial disclosure: None to report... Informed consent was obtained for this case report.

No MeSH data available.


Related in: MedlinePlus