XML Persian Abstract Print

ASSOCIATE PROFESSOR , dr.divyac@yahoo.com
Abstract:   (1230 Views)
Background & Aims:  The gallbladder and biliary tract are structures that are in close proximity to the adjacent organs and can exhibit a variety of anomalies and anatomic variations. However, the literature on morphological variations of the gallbladder and their prevalence are limited. This study aims to identify various anatomical variations in gallbladder shape and position that should be considered for clinical implications, investigative procedures, radiological studies, surgical interventions, embryological explanations, and comparative anatomy. Aim of this study is to study the morphology of gallbladder in cadavers.
Materials & Methods: This study was done on 100 cadaveric liver and gallbladder specimens available in the Department of Anatomy, Sri Devaraj Urs Medical College, Kolar, India. Parameters such as maximum transverse diameter and maximum length were measured with help of metallic tape. Each specimen was studied for morphological variations. The observations were tabulated and analysed statistically.
Results: Gallbaladder samples had length ranging between 3.3 and 12 cm, transverse diameter between 2.0 and 5.0 cm. The commonest shape observed in this study was pear shaped in 84% of cases. The length of gallbladder below the inferior border of liver varied between 0.4 and 2.5 cm.
Conclusion: The anatomic variations of the gallbladder and biliary tract are critical during their surgical procedures. The present study describes the different anatomic variations of human gallbladder and its clinical importance. This study will greatly assist surgeons in understanding the possible morphology of the gallbladder.
Full-Text [PDF 1144 kb]   (470 Downloads)    
Type of Study: orginal article | Subject: General

1. Standering S; Gray's anatomy: The anatomical Basis of clinical Practice, 40th Ed, Elsevier Churchill Livingstone, Philadelphia, London; 2008. pp 1177-81. [URL]
2. Moore KL, Dalley AF. Clinically oriented anatomy in abdomen, 5th edition, Philadelphia: Lippincott Williams & Wilkins; 2006:302. [Google Scholar]
3. Bergman RA, Afifi AK, Miyauchi R. llustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems: Digestive System and Spleen. Gallbladder; 2015:21. [URL]
4. Talpur KA, Laghari AA, Yousfani SA, Malik AM, Memon AI, Khan SA. Anatomical variations and congenital anomalies of Extra Hepatic Biliary System encountered during Laparoscopic Cholecystectomy. J Pak Med Assoc 2010;60:89-93. [PMID]
5. Prakash AV, Panshewdikar PN, Joshi DS, Anjaankar AP. A cadaveric study involving variations in external morphology of gall bladder. Int J Med Res Health Sci 2013;2(2):239-42. [DOI:10.5958/j.2319-5886.2.2.029]
6. Sreekanth C, Kumari M T, Hema L. Variations in the external morphology of gall bladder: A cadaveric study in South coastal population. J Med Dent Sci 2016;15(9):14-20. [DOI:10.9790/0853-1509091420]
7. Nagral S. Anatomy relevant to cholecystectomy. J Min Access Surg 2005;1:53-8. [DOI:10.4103/0972-9941.16527] [PMID] [PMCID]
8. Chari RS, Shah SA. Biliary system In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 18th edition; St. Louis, Mo: WBSaunders; 2007: 1474-514 [URL]
9. Vakili K, Pomfret EA. Biliary anatomy and embryology. Surg Clin North Am 2008:88(6);1159-74. [DOI:10.1016/j.suc.2008.07.001] [PMID]
10. Turner MA, Fulcher AS, Gore RM, Levine MS. Textbook of Gastrointestinal Radiology in Gallbladder and Billiary:Normal anatomy. and examination techniques. 2nd ed vol 2.WB Saunders.Philadelphia, 2000;1250-76. [PMCID]
11. Rajguru J, Satyam K, Shilpi J, Rashmi G, Mukesh S, et.al. Variations in the external morphology of gall bladder. J Anat Soc India 2012; 61(1):9-12. [DOI:10.1016/S0003-2778(12)80004-9]
12. Rajendra R, Makandar U K, Tejaswi H L, Patil B G. Morphometric Study of Gall Bladder In South Indian Population(cadaveric study). Indian J Forensic Community Med 2015; 2(1):35-42 [DOI:10.5958/0973-9130.2014.00721.X]
13. Stuti Srivastava, Abeer Zubair Khan. Morphology of Gall Bladder- A Cadaveric Study. Curr Med Res Opin 2019; 2(10): 293-8. [DOI:10.15520/jcmro.v2i10.217]
14. Piracci A, Mitrushi A, Totozani D. Ultrasound examination of anatomical variations of the gall bladder. Albanian Med J 2013; 1:88-91.
15. Nadeem G. A study of the clinico-anatomical variations in the shape and size of gallbladder. J Morphol Sci 2016; 33(2): 62-7. [DOI:10.4322/jms.082714]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.