{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T12:40:14Z","timestamp":1735908014980,"version":"3.32.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"6 October University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The coexistence of gallbladder (LSG) and adenomyomatosis (ADM) is extremely uncommon presenting a novel clinical dilemma that has not been previously documented. LSG refers to a anomaly where the gallbladder is situated to the left of the round ligament deviating from its usual position. This anomaly is rare, with reported occurrences ranging between 0.04% and 1.1%. Identifying LSG before surgery poses challenges. It is often discovered incidentally during procedures necessitating surgical expertise to safely manage anatomical variations.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We report an old man with a history of hepatitis C, carcinoma and liver cirrhosis complained of sudden epigastric pain. A CT scan revealed the presence of an LSG, which\u2019s a congenital anomaly. During the cholecystectomy procedure surgeons encountered variations and observed the existence of ADM complicating the operation. The patient recovered smoothly post surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>This case shows how complicated it can be to diagnose and treat the combination of LSG and ADM. Identifying these conditions before surgery is tough so surgeons often have to adjust their approach during the operation. Although laparoscopic cholecystectomy for LSG is usually safe it requires care to avoid problems like bile duct injuries. For patients at risk a conservative treatment approach might be better. In cases where surgery is necessary surgeons need to adapt their techniques to address the unique anatomical issues.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The combination of LSG and ADM in a setting poses an intricate challenge. Surgeons need to be ready to recognize and address these abnormalities effectively for the well being of the patient and favorable results. This particular case highlights the importance of staying alert and flexible during surgery when dealing with gallbladder variations.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12245-024-00785-0","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T11:40:51Z","timestamp":1735904451000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Coexistence of adenomyomatosis in a left-sided gallbladder: a case report"],"prefix":"10.1186","volume":"18","author":[{"given":"Mohamed","family":"Tolba","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hadeer","family":"Hafez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Adel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"785_CR1","doi-asserted-by":"crossref","unstructured":"Iskandar ME, Radzio A, Krikhely M, Michael Leitman I. Laparoscopic cholecystectomy for a left-sided gallbladder. World J Gastroenterol [Internet]. 2013 Sep 21 [cited 2024 Apr 3];19(35):5925\u20138. https:\/\/pubmed.ncbi.nlm.nih.gov\/24124340\/","DOI":"10.3748\/wjg.v19.i35.5925"},{"key":"785_CR2","doi-asserted-by":"crossref","unstructured":"Saafan T, Hu JY, Mahfouz AE, Abdelaal A. True left-sided gallbladder: A case report and comparison with the literature for the different techniques of laparoscopic cholecystectomy for such anomalies. Int J Surg Case Rep [Internet]. 2018 [cited 2024 Apr 3];42:280\u20136. https:\/\/pubmed.ncbi.nlm.nih.gov\/29331884\/","DOI":"10.1016\/j.ijscr.2017.12.029"},{"key":"785_CR3","doi-asserted-by":"crossref","unstructured":"Almas T, Murad MF, Mansour E, Khan MK, Ullah M, Nadeem F et al. Look, but to the left: A rare case of gallbladder sinistroposition and comprehensive literature review. Ann Med Surg (Lond) [Internet]. 2021 Nov 1 [cited 2024 Apr 3];71. https:\/\/pubmed.ncbi.nlm.nih.gov\/34840764\/","DOI":"10.1016\/j.amsu.2021.103016"},{"key":"785_CR4","doi-asserted-by":"crossref","unstructured":"Makni A, Magherbi H, Ksantini R, Rebai W, Safta Z, Ben. Left-sided gallbladder: an incidental finding on laparoscopic cholecystectomy. Asian J Surg [Internet]. 2012 Apr [cited 2024 Apr 3];35(2):93\u20135. https:\/\/pubmed.ncbi.nlm.nih.gov\/22720865\/","DOI":"10.1016\/j.asjsur.2012.04.011"},{"issue":"5","key":"785_CR5","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1007\/s00534-004-0911-x","volume":"11","author":"A Nishimura","year":"2004","unstructured":"Nishimura A, Shirai Y, Hatakeyama K. Segmental adenomyomatosis of the gallbladder predisposes to cholecystolithiasis. J Hepatobiliary Pancreat Surg. 2004;11(5):342\u20137.","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"785_CR6","doi-asserted-by":"crossref","unstructured":"Nguyen TH, Nguyen TS, Van Nguyen PD, Dang TN, Talarico EF, Sinistroposition. A case report of true left-sided gallbladder in a Vietnamese patient. Int J Surg Case Rep [Internet]. 2018 Jan 1 [cited 2024 Apr 3];51:82\u20135. https:\/\/pubmed.ncbi.nlm.nih.gov\/30149330\/","DOI":"10.1016\/j.ijscr.2018.08.018"},{"key":"785_CR7","doi-asserted-by":"crossref","unstructured":"Nagendram S, Lynes K, Hamade A. A case report on a left sided gallbladder: A rare finding during cholecystectomy. Int J Surg Case Rep [Internet]. 2017 [cited 2024 Apr 3];41:398\u2013400. https:\/\/pubmed.ncbi.nlm.nih.gov\/29546000\/","DOI":"10.1016\/j.ijscr.2017.11.004"},{"key":"785_CR8","doi-asserted-by":"crossref","unstructured":"Roli I, Colli F, Mullineris B, Esposito S, Piccoli M. Left sided gallbladder: A case report during laparoscopic cholecystectomy for acute cholecystitis. Int J Surg Case Rep [Internet]. 2020 Jan 1 [cited 2024 Apr 3];77S(Suppl):S34\u20136. https:\/\/pubmed.ncbi.nlm.nih.gov\/33172811\/","DOI":"10.1016\/j.ijscr.2020.10.046"},{"key":"785_CR9","doi-asserted-by":"crossref","unstructured":"Colovic R, Colovic N, Barisic G, Atkinson H, Krivokapic Z. Left-sided gallbladder associated with congenital liver cyst. HPB (Oxford) [Internet]. 2006 Apr [cited 2024 Apr 3];8(2):157\u20138. https:\/\/pubmed.ncbi.nlm.nih.gov\/18333268\/","DOI":"10.1080\/13651820410016642"},{"key":"785_CR10","doi-asserted-by":"crossref","unstructured":"Pereira R, Singh T, Avramovic J, Baker S, Eslick GD, Cox MR. Left-sided gallbladder: a systematic review of a rare biliary anomaly. ANZ J Surg [Internet]. 2019 Nov 1 [cited 2024 Apr 3];89(11):1392\u20137. https:\/\/pubmed.ncbi.nlm.nih.gov\/30836441\/","DOI":"10.1111\/ans.15041"},{"key":"785_CR11","doi-asserted-by":"crossref","unstructured":"Sadhu S, Jahangir TA, Roy MK. Left-sided gallbladder discovered during laparoscopic cholecystectomy in a patient with dextrocardia. Indian J Surg [Internet]. 2012 [cited 2024 Apr 3];74(2):186\u20138. https:\/\/pubmed.ncbi.nlm.nih.gov\/23542707\/","DOI":"10.1007\/s12262-011-0261-2"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-024-00785-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-024-00785-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-024-00785-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T12:02:35Z","timestamp":1735905755000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-024-00785-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,3]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["785"],"URL":"https:\/\/doi.org\/10.1186\/s12245-024-00785-0","relation":{},"ISSN":["1865-1380"],"issn-type":[{"type":"electronic","value":"1865-1380"}],"subject":[],"published":{"date-parts":[[2025,1,3]]},"assertion":[{"value":"5 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Institutional Review Board (IRB) of Misr University for Science and Technology (MUST) exempts case reports from requiring formal ethical approval, as obtaining patient consent is deemed sufficient. The case report was conducted in full accordance with the SCARE guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal on request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"5"}}