Intrahepatic Gallbladder Presenting as a Gallbladder Herniation through the Liver

Abstract The intrahepatic gallbladder is a rare anatomical anomaly of the gallbladder that has important implications for surgery due to its proximity to the critical biliary and vascular structures, the possibility of associated biliary anomalies, and its potential to cause diagnostic confusion due to the inability to identify its peculiar location preoperatively. We report a rare case where the gallbladder protruded through the substance of the liver to the anterior surface of the liver, mimicking gallbladder hernia. The patient had biliary dyskinesia, and the unusual location of the gallbladder was not suspected preoperatively. The patient underwent a laparoscopic cholecystectomy and had an uneventful recovery. This case is being presented to highlight the extreme technical care to avoid accidental injury to the hepatic biliary and vascular structures. Key Words: Ectopic Gallbladder; Intrahepatic Gallbladder; Gallbladder Hernia; Anatomic variation; Laparoscopic Cholecystectomy; Biliary Dyskinesia.