{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:29:22Z","timestamp":1785421762952,"version":"3.56.0"},"reference-count":10,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Supra-hepatic gallbladder is an exceptionally rare form of ectopic gallbladder. Its identification can be particularly challenging in patients with cirrhosis, where distortion of hepatic architecture obscures expected anatomical relationships. This report describes a case of supra-hepatic gallbladder in a patient with chronic liver disease, in which surrounding inflammatory oedema mimicked intra-abdominal fat necrosis, creating a significant diagnostic dilemma on imaging.\nContribution:\u00a0This case underscores the importance of recognizing unusual gallbladder locations, understanding their embryological basis, and being aware of potential imaging pitfalls and complications associated with ectopic positioning.<\/jats:p>","DOI":"10.4102\/sajr.v30i1.3484","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T10:15:48Z","timestamp":1784801748000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Supra-hepatic gallbladder in cirrhosis presenting as a mimic of intra-abdominal fat necrosis: Diagnostic pitfalls and clinical implications"],"prefix":"10.4102","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7841-6987","authenticated-orcid":false,"given":"Siddhi","family":"Chawla","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02dwcqs71","id-type":"ROR","asserted-by":"publisher"}],"name":"All India Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7200-296X","authenticated-orcid":false,"given":"Binit","family":"Sureka","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02dwcqs71","id-type":"ROR","asserted-by":"publisher"}],"name":"All India Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8384-9197","authenticated-orcid":false,"given":"Mahaveer S.","family":"Rodha","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02dwcqs71","id-type":"ROR","asserted-by":"publisher"}],"name":"All India Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref0","unstructured":"Moore KL, Persaud TVN, Torchia MG. The developing human: Clinically oriented embryology. 10th ed. Philadelphia, PA: Elsevier; 2015."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Benson EA, Page RE. A practical reappraisal of the anatomy of the extrahepatic bile ducts and arteries. Br J Surg. 1976;63(11):853\u2013860. https:\/\/doi.org\/10.1002\/bjs.1800631105","DOI":"10.1002\/bjs.1800631105"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Vilgrain V, Lagadec M, Ronot M. Pitfalls in liver imaging. Radiology. 2016;278(1):34\u201351. https:\/\/doi.org\/10.1148\/radiol.2015142576","DOI":"10.1148\/radiol.2015142576"},{"key":"ref3","unstructured":"Regen JF, Poindexter A. Suprahepatic position of the gallbladder. Arch Surg. 1965;91:557\u2013559."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Faintuch J, Machado MC, Raia AA. Suprahepatic gallbladder with hypoplasia of the right lobe of the liver. Arch Surg. 1980;115(5):658\u2013659. https:\/\/doi.org\/10.1001\/archsurg.1980.01380050080019","DOI":"10.1001\/archsurg.1980.01380050080019"},{"key":"ref5","unstructured":"Hsu KL, Chou FF, Shern JY, Yang AD. Suprahepatic gallbladder with agenesis of the right lobe of the liver: report of a case. J Formos Med Assoc. 1994;93(4):320\u2013323."},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Sheu BS, Lin XZ, Chen CY, Chow NH, Lin PW, Tsai HM. Suprahepatic gallbladder and right lobe anomaly of the liver in patients with biliary cancers. Dig Dis Sci. 1995;40(11):2411\u20132416. https:\/\/doi.org\/10.1007\/BF02063246","DOI":"10.1007\/BF02063246"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Pardo JR, Mar\u00edn AG, Garc\u00eda FJR. Acute calculous cholecystitis in a patient with suprahepatic gallbladder, hepatic hypoplasia and Chilaiditi\u2019s sign. Rev Esp Enferm Dig. 2020;112(2):156\u2013157. https:\/\/doi.org\/10.17235\/reed.2020.6533\/2019","DOI":"10.17235\/reed.2020.6533\/2019"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Agarwal V, Pande S, Garg SK, Jangid DR. Anomalously placed suprahepatic gallbladder: A case detected on F-18 FDG PET\/CT. Indian J Nucl Med. 2011;26(2):120\u2013122. https:\/\/doi.org\/10.4103\/0972-3919.90270","DOI":"10.4103\/0972-3919.90270"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Nho WY, Kim JO, Nam SY, Kee SK. Torsion of suprahepatic gall bladder. J Minim Access Surg. 2021;17(3):382\u2013384. https:\/\/doi.org\/10.4103\/jmas.JMAS_171_20","DOI":"10.4103\/jmas.JMAS_171_20"}],"container-title":["South African Journal of Radiology"],"original-title":[],"link":[{"URL":"https:\/\/sajr.org.za\/index.php\/sajr\/article\/view\/3484\/4097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T10:15:55Z","timestamp":1784801755000},"score":1,"resource":{"primary":{"URL":"https:\/\/sajr.org.za\/index.php\/sajr\/article\/view\/3484"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,1]]}},"URL":"https:\/\/doi.org\/10.4102\/sajr.v30i1.3484","relation":{},"ISSN":["1027-202X","2078-6778"],"issn-type":[{"value":"1027-202X","type":"print"},{"value":"2078-6778","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]},"article-number":"a3484"}}