PMC7298520_01
Image of the gallbladder after cephalad retraction, with careful dissection of the peritoneum covering the gallbladder. a, gallbladder; b, strangulated Hartmann's pouch in the Calot's triangle; c, cystic duct and artery.
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It was hyperemic and incarcerated (Fig. 1).
Calot's triangle after careful dissection and release of the incarcerated Hartmann pouch creating critical view of safety (CVS). a, gallbladder; b, cystic artery; c, cystic duct; d, common hepatic duct.
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After completing the dissection, we discovered that this bulging mass was actually a Hartmann pouch containing the gallbladder stone, which was herniated and incarcerated in the Calot's triangle (Fig. 2).