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Year :2019
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Month :
January-February
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Volume :
8
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Issue :
1
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Page :
AO11 - AO14
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A Study of Variations in the Position of Fundus and Peritoneal Reflections of Gall Bladder
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Correspondence Address :
D Sreelekha, S Swayam jothi Dorairaj, Rajeswar Rao, K Maheswari,
Dr. S. Swayam Jothi Dorairaj,
No.15/7, 3rd Canal Cross Road, Gandhinagar, Adyar, Chennai-600020, Tamilnadu, India.
E-mail: swayamjothi@gmail.com
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Introduction: Introduction: Various positions of fundus and peritoneal reflections of Gall bladder are of significance as it is a common site of medical and surgical pathologies.
Aim: To study the position and length of fundus of gall bladder and the peritoneal relations of the gall bladder.
Materials and Methods: An observational cadaveric study was done on 58 adult human liver specimens obtained from cadavers between the age of 20 to 68 years over a period of five years between October 2012 to September 2017 from the Department of Anatomy, Shri Sathya Sai Medical College and Meenakshi Medical College, Kancheepuram, after obtaining ethical committee clearance for studying the different positions and length of fundus along with the peritoneal reflections of gall bladder.
Results: The position of fundus of gall bladder was observed to be inframarginal in 25 specimens (43.1%), marginal in 13 specimens (22.4%) and supramarginal in 20 specimens (34.48%). For the 25 inframarginal type of gall bladders, the length of the fundus varied between 1.8 to 4 cm. A total of 31 out of 58 gall bladders showed differential peritoneal reflection. The remaining 27 specimens showed normal peritoneal reflection.
Conclusion: Knowledge about the different positions of gall bladder and its peritoneal relations is important, as peritoneum extending onto the superior surface can often be related to torsion and also may get injured being a common site of laparoscopic surgeries.
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