Agenesis of the Right Lobe of the Liver with Supra-Hepatic Gallbladder

Abstract

We read with interest the recent report concerning agenesis of the right lobe of the liver (2). We would like to report one additional case (3).A 67-year-old man with sciatica presented with hepatomegaly. The classic nonspecific radiographie signs (1, 5) were present. Ab sence of the right lobe of the liver with enlargement of the left lobe and ectopy of the gallbladder were demonstrated on CT. Selective arteriography documented "hypertrophy" of the left hepatic artery, anomalous right cystic branches, and absence of the right portal branch. Liver biopsy was normal. The malformation was excluded in the patient's 3 sons. Ectopy of the gallbladder is of clinical significance since it is associated with a predisposition to stasis and cholecystolithiasis (4, 5).

Biliary Injury After Laparoscopic Cholecystectomy in a Patient with Right Liver Agenesis: Case Report and Review of the Literature

“…[1][2][3][4][5][6][7][8][9][10][11] To our knowledge, this represents the only case in the literature of biliary injury after laparoscopic cholecystectomy in the setting of complete agenesis of the right hemiliver. It also seems to be the only description of the unusual hepatic vein anatomy in this condition.…”