胆嚢異常および副肝の合併した肝円索位置異常を伴う肝内門脈分岐異常の1例

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A case of anomalous branching of the intrahepatic portal vein associated with anomalous position of the round ligament was reported.<BR>A 66-year-old woman was admitted to our hospital because of anorexia, vomiting, and pyrexia. She was diagnosed as acute cholecystitis. Then, a celiotomy was done. The gallbladder attached to the liver on both sides of the round ligament, that is anomalous position of the gallbladder, and the liver bed of the gallbladder was seen only on the left side of the gallbladder. Accessory liver in the gallbladder wall was also disclosed. Intraoperative portography and ultrasonography revealed anomalous branching of the intrahepatic portal vein associated with anomalous position of the round ligament.<BR>Anomalous branching of the intrahepatic portal vein associated with anomalous position of the round ligament is not widely recognized. Anomalous position of the gallbadder should be discussed whether anomalous branching of the intrahepatic portal vein with anomalous position of the round ligament is present or not.