{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:02:20Z","timestamp":1768431740198,"version":"3.49.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"vor","delay-in-days":138,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Laparoscopic cholecystectomy is one of the most frequent operations performed around the world. Some pathological findings are particularly rare and difficult to diagnose preoperatively. Here, we report a case of a patient who presented to our hospital with calculus cholecystitis with a unique Intraoperative finding of Hartmann pouch herniation through hepatocystic triangle. The aim of the study is to consider Hartmann pouch herniation as a rare differential diagnosis of gallbladder stone complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We present a 48-year-old male who came to our emergency department complaining of constant epigastric abdominal pain lasting 3 h with vomiting. Utilizing chemistry laboratory studies and radiological studies, the final diagnosis was acute calculus cholecystitis. Early laparoscopic cholecystectomy was done and revealed Hartmann pouch herniation through the Calot\u2019s triangle. This herniation resulted in strangulation of the Hartmann pouch and displacement of the cystic duct and artery anteriorly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The biliary tract is liable for congenital anomalies. These anatomical variations can be diagnosed either intra-operatively or pre-operatively using radiological imaging. Hartmann pouch herniation is a new finding that we encountered in this case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Profound surgeons\u2019 anatomical knowledge is essential for the safety of patients, especially for hepatobiliary surgeries due to the wide variations in normal and pathological anatomy. Using critical view of safety can decrease avoidable complications. Consulting specialized hepatobiliary surgeon is preferred when dealing with such cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.05.022","type":"journal-article","created":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T03:56:48Z","timestamp":1590119808000},"page":"175-177","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hartmann pouch herniation in Calot\u2019s triangle"],"prefix":"10.1097","volume":"72","author":[{"given":"Tariq","family":"Almnaizel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tawfiq","family":"Alnawafleh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u2019ed","family":"Al-Jarrah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulhamid M.","family":"Al-Abadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malek A.","family":"Al-Omari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eman A.","family":"Al-Oudat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-40-20260114","doi-asserted-by":"crossref","first-page":"61","DOI":"10.9790\/0853-13456162","article-title":"Hartmann\u2019s pouch \u2013 a study in North Coastal Andhra Pradesh, India","volume":"13","author":"Kumari","year":"2014","journal-title":"IOSR J. Dent. Med. Sci"},{"key":"R2-40-20260114","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1007\/s00464-006-9058-y","article-title":"Hartmann\u2019s gallbladder pouch revisited 60 years later","volume":"21","author":"Eijck","year":"2007","journal-title":"Surg. Endosc"},{"key":"R3-40-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus surgical case report (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R4-40-20260114","doi-asserted-by":"crossref","first-page":"406","DOI":"10.4293\/108680812X13427982377184","article-title":"Laparoscopic cholecystectomy and newer techniques of gallbladder removal","volume":"16","author":"Comitalo","year":"2012","journal-title":"JSLS"},{"key":"R5-40-20260114","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/0972-9941.16527","article-title":"Anatomy relevant to cholecystectomy","volume":"1","author":"Nagral","year":"2005","journal-title":"J. Minim. Access Surg"},{"key":"R6-40-20260114","doi-asserted-by":"crossref","first-page":"962","DOI":"10.12659\/AJCR.909586","article-title":"Successful laparoscopic cholecystectomy in moderate to severe acute cholecystitis: visual explanation with video file","volume":"19","author":"Takamatsu","year":"2018","journal-title":"Am. J. Case Rep"},{"key":"R8-40-20260114","first-page":"57","article-title":"Presence of Hartmann\u2019s pouch in human gallbladder","volume":"10","author":"Nahar","year":"2013","journal-title":"BJA"},{"key":"R9-40-20260114","first-page":"45","article-title":"A study of anatomy of Calot\u2019s triangle and its clinical significance","volume":"2","author":"Sridhar","year":"2018","journal-title":"Pulsus J. Surg. 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