Congenital Absence of Gall Bladder

Singh, Gurjit; Rao, K. Rama; Ghosh, SR; Chaudhry, Rajan

doi:10.1016/s0377-1237(03)80067-9

Cited by 7 publications

(18 citation statements)

References 4 publications

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“…Furthermore, patients with physical deformities in one organ should be examined for possible deformities in other organs. Patients with suspicion of gallbladder agenesis should undergo MRCP or endoscopic retrograde cholangiopancreatography (4) in order to confirm the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have demonstrated that a definitive diagnosis of gallbladder agenesis is challenging through ordinary preoperative examination (4,15). MRCP is a noninvasive and effective method of biliary tract imaging, and it is not affected by cholestasis.…”

Section: Discussionmentioning

confidence: 99%

“…In clinical practice, the incidence is 0.007-0.0027%, while in autopsy series it is 0.04-0.13% (3). Females are more commonly affected (ratio, 3:1), and >50% of patients with gallbladder agenesis are symptomatic and require surgical intervention (4,5). It is crucial that clinicians consider gallbladder agenesis in cases where the gallbladder appears abnormal on preoperative imaging studies and cannot be identified using laparoscopy (6).…”

Section: Introductionmentioning

confidence: 99%

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Gallbladder agenesis and atrial septal defect: A case report

Liu

Zhao

2016

Experimental and Therapeutic Medicine

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Abstract. Congenital absence of gallbladder and atrial septal defect (ASD) are clinically rare congenital organ malformations, and the simultaneous occurrence of the two is even more rare. The present study reported a case of gallbladder agenesis combined with congenital ASD. A 38-year-old male patient presented with a 3-year history of recurring upper right abdominal pain. The pain had no evident cause and was accompanied by dyspepsia and gasteremphraxis with indigestion. Several color Doppler ultrasonography scans revealed cholecystitis and gallbladder stones. A physical examination revealed cardiac murmur. A color Doppler ultrasonography of the heart was indicative of congenital heart disease. A corrective surgery for ASD was performed. Subsequently, a mini-incision cholecystectomy was performed as explorative surgery. A magnetic resonance cholangiopancreatography scan of the abdomen was performed in order to confirm the diagnosis of gallbladder disorder and cystic duct hypoplasia. A final definite diagnosis of gallbladder agenesis was confirmed. In conclusion, atrophy and gallbladder full of stones are frequently misdiagnosed, and establishing a definitive preoperative diagnosis is difficult. Awareness of this congenital malformation may assist physicians in distinguishing cases with unclear manifestation and avoiding unnecessary surgical interventions. IntroductionConcurrent manifestation of congenital absence of gallbladder and atrial septal defect (ASD) is a rare congenital organ malformation in clinical practice (1). No apparent association has been identified between these two congenital organ malformations. Sufficient attention must be paid to these disorders as they are often misdiagnosed or overlooked during diagnosis. The incidence of gallbladder agenesis in the general population is reported to be 13-65/100,000 (2). In clinical practice, the incidence is 0.007-0.0027%, while in autopsy series it is 0.04-0.13% (3). Females are more commonly affected (ratio, 3:1), and >50% of patients with gallbladder agenesis are symptomatic and require surgical intervention (4,5). It is crucial that clinicians consider gallbladder agenesis in cases where the gallbladder appears abnormal on preoperative imaging studies and cannot be identified using laparoscopy (6). Preoperative diagnostic imaging such asmagnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound should be considered. If such a condition is encountered during surgery, intraoperative cholangiography and intraoperative ultrasound may be performed to rule-out agenesis and ectopic gallbladder (7). In the present case report, the diagnosis and surgical intervention of gallbladder agenesis and ASD is described. Case reportA 38-year-old male visited the Affiliated Hospital of Inner Mongolia Medical University (Hohhot, China) in December 2010 with a 3-year history of recurring upper right abdominal pain, which had deteriorated in the last week. The pain had no evident cause. It was accompanied by dyspepsia and gasteremphraxis with indigesti...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gallbladder agenesis and atrial septal defect: A case report

Liu

Zhao

2016

Experimental and Therapeutic Medicine

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“…1 Around 400 cases have been reported; in around 13% this is associated with other anomalies such as skeletal or cardiac anomalies. 2 While gallbladder agenesis has been reported with distant anomalies frequently, reports of associated local anomalies such as portal abnormalities and absence of the right lobe are more unusual. 3,4 To our knowledge, this is the first case of gallbladder agenesis with associated idiopathic biliary dilation.…”

Section: Discussionmentioning

confidence: 99%

“…This is likely to be due to the overall infrequency of the condition and consequent low index of suspicion for agenesis when interpreting imaging findings, together with the fact that around 50% of reported cases appear to be associated with symptomatic presentations similar to biliary colic. 2 …”

Section: Discussionmentioning

confidence: 99%

Gallbladder agenesis

McCallum

Jones

Robinson

2014

annals

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Symptomatic gallbladder agenesis in an elderly woman: Diagnosis and management dilemma

Ayantunde

2006

Surgical Practice

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Gallbladder agenesis is an uncommon clinical entity where there is an isolated congenital absence of the gallbladder and the cystic duct. It is usually asymptomatic and many are not detected. There is, however, increasing diagnosis on account of available new imaging techniques. The symptomatic group typically presents with right upper quadrant pain of biliary colic, nausea and vomiting and obstructive jaundice. I report a case of an elderly woman presenting for the first time with agenesis of the gallbladder and painful obstructive jaundice.

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Congenital Absence of Gall Bladder

Cited by 7 publications

References 4 publications

Gallbladder agenesis and atrial septal defect: A case report

Gallbladder agenesis and atrial septal defect: A case report

Gallbladder agenesis

Symptomatic gallbladder agenesis in an elderly woman: Diagnosis and management dilemma

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