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Incidental finding of agenesis of the left hepatic lobe in a patient with acute cholecystitis

INTRODUCTION: Anomalies of hepatic morphology are rare entities caused by abnormal embryological development of the liver. They can be classified as anomalies due to defective development (agenesis, aplasia or hypoplasia) or anomalies due to excessive development of the liver (accessory lobes). CASE REPORT: A 48 years old obese female looked for emergency assistance with acute cholecystitis. An incidental finding of left hepatic lobe agenesis was observed when the patient was submitted to laparoscopic cholecystectomy. There was no hepatic parenchyma to the left of falciform ligament and gallbladder was settled on its normal position. Cholecystectomy was performed uneventfully and an adjustable gastric band was placed for the treatment of the morbid obesity. The patient was discharged after 60 hours.

Cholecystectomy; Digestive system abnormalities


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