The Wrong Side: A Rare Case of Wandering Liver in a 78-Year-Old Man

A 78-year-old man was hospitalized with acute cholecystitis and choledocholithiasis. Abdominal CT confirmed gallstones in the biliary tract with normal position of the liver and gallbladder (Figure 1). Laboratory work-up revealed total bilirubin 2.3 mg/dL, direct bilirubin 2.2 mg/dL, alkaline phosphatase 394 μ/L, serum glutamic oxaloacetic transaminase (SGOT) 1,869 μ/L, and serum glutamic pyruvic transaminase (SGPT) 742 μ/L. MRI cholangiopancreatography revealed liver and gallbladder on the left side, with pancreas, duodenum, and spleen in normal anatomical position (Figure 2). The liver pedicle was distorted, with dilated common bile duct (CBD) lying parallel to the pancreatic duct. Laparoscopic cholecystectomy and ERCP was performed for cholecystitis and choledocholithiasis, respectively. The position of liver changed from the right side to the left side of the abdomen, with the bile duct parallel to the pancreatic duct during cholecystectomy and ERCP.