An uncommon gallbladder location associated with polycystic liver.

Please cite this article as: Alegre Salles VJ, Azevedo Ferreti CE, Natrielli de Almeida MM. Una localización poco frecuente de la vesícula biliar asociada con el hígado poliquístico. Revista de Gastroenterología de México. 2015;80:109--110. ∗ Corresponding author at: University of Taubat, Medicine, Avenue Tiradentes, 280 Taubat, San Paul 12030180 Brazil. Phone: +550121536813888; Home: +550121536316061; fax: +55011536316061. E-mail address: [email protected] (V.J. Alegre Salles). An 81-year-old woman presented with chronic abdominal pain in the epigastrium and right hypochondrium, associated with weight loss and an abdominal tumor. A CT scan revealed a polycystic liver with a massive hepatic cyst in the right lobe (fig. 1). Surgical exploration identified the gallbladder surrounded by the thick serosal layer of a hepatic cyst (fig. 2). The atypical location of the gallbladder alerted the surgical team to the possibility of a biliary tract abnormality, which was ruled out after performing an intraoperative cholangiography. Polycystic liver is estimated to occur in approximately 5% of the population. Exaggerated growth of the cysts can cause abdominal pain and distension, dyspepsia, early satiety, dyspnea, and a visible or palpable