Gallbladder agenesis

McCallum, I; Jones, Michael; Robinson, S.

doi:10.1308/003588414x13946184903766

Cited by 9 publications

(10 citation statements)

References 3 publications

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“…Multiple case reports describe congenital gallbladder agenesis [6] including several prompting surgery for cholecystectomy [7] , [8] , [9] , [10] . This suggests that sonographic findings of a “small gallbladder with gallstones,” even in patients with biliary colic, could represent gallbladder agenesis.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder agenesis mimicking cholelithiasis in an adult

Moon

Howe

McGinty

et al. 2018

Radiology Case Reports

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We present the case of a 24-year-old woman with morbid obesity who came to the emergency department with right upper quadrant abdominal pain associated with nausea and vomiting. Her workup included a right upper quadrant ultrasound suggestive of a small gallbladder with cholelithiasis without sonographic evidence of acute cholecystitis. She underwent attempted laparoscopic cholecystectomy with no identifiable gallbladder during surgery. Postsurgical cross-sectional imaging confirmed gallbladder agenesis. This case provides an example of a rare but convincing clinical and radiologic mimic of cholelithiasis. In certain cases of biliary colic and imaging revealing a small gallbladder, a magnetic resonance cholangiopancreatography may be warranted to evaluate gallbladder agenesis and avoid unnecessary surgery.

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Section: Discussionmentioning

confidence: 99%

Gallbladder agenesis mimicking cholelithiasis in an adult

Moon

Howe

McGinty

et al. 2018

Radiology Case Reports

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“…If bile ducts are identified, then intraoperative cholangiography should be available prior to definite surgery to define biliary system anatomy. In particular cholangiography is an essential tool to identify stones in the common bile duct, an ectopic gall bladder, an intrahepatic gallbladder, or when gall bladder is buried by extensive adhesions or atrophic due to previous cholecystitis episodes [ 30 , 37 , 38 ]. In our case, a cholangiogram was not performed because the hepatic duct was thin.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder Hypoplasia, a Congenital Abnormality of the Gallbladder: A Case Report

et al. 2017

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Patient: Male, 62Final Diagnosis: Gallbladder hypoplasiaSymptoms: Abdominal painMedication: —Clinical Procedure: —Specialty: SurgeryObjective:Congenital defects/diseasesBackground:There are different variations in the anatomy of the gallbladder. Congenital abnormalities of the gallbladder such as agenesis and hypoplasia are rare conditions and difficult to diagnose with imaging studies. Patients are usually asymptomatic or have symptoms that mimic gallstone disease. The diagnosis is often made intraoperatively and is established by histopathological examination.Case Report:We report a case of a 62-year-old male who had cholelithiasis symptoms and was falsely diagnosed with gallstone disease by abdominal ultrasound scan. The patient underwent an operation which revealed a rudimentary gallbladder. The histology result showed hypoplastic gallbladder tissue.Conclusions:This case suggests that surgeons need to take into consideration congenital anomalies of the gallbladder intraoperatively in order to avoid any iatrogenic injury to biliary tract during a routine laparoscopic cholecystectomy. Intraoperative cholangiography can be a useful tool to avoid unnecessary surgical risky interventions.

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“…The abandoned surgery can always be followed up with a MRCP which can establish the diagnosis. 6,15,17,[20][21][22] We also followed this consensus and once thorough examination of all possible location of gallbladder was carried out, procedure was abandoned and a postoperative MRCP was done to confirm the diagnosis of gallbladder agenesis.…”

Section: Literature Cites a Classification System By Bennion Et Al Inmentioning

confidence: 99%

Gall bladder agenesis: a surgeon’s dilemma

Joseph

Kumar

2019

Int Surg J

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Congenital agenesis of gall bladder is a rare anomaly which poses a diagnostic dilemma to the surgical fraternity. Ultrasonography, which is the standard investigation of choice in gall bladder diseases often gives a mistaken diagnosis of cholelithiasis in the background of a shrunken gall bladder with hyperechoic shadows suggestive of gall stones. Intra-operatively this poses a surprise to the operating surgeon who fails to locate gall bladder in its normal anatomic position as well as any of the ectopic sites. The controversy in further course of management whether to abandon the procedure and follow-up with a post-operative imaging such as MRCP or to convert the laparoscopic procedure into an open surgery has been a debate for the surgeons. Most of the literature favours the first approach, thereby reducing the morbidity associated with the surgery. In this case report we present a 42-year-old male who presented with symptoms of gall bladder disease to a peripheral surgical centre and how we approached the intra-operative dilemma once gall bladder was not visualized.

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Gallbladder agenesis

Cited by 9 publications

References 3 publications

Gallbladder agenesis mimicking cholelithiasis in an adult

Gallbladder agenesis mimicking cholelithiasis in an adult

Gallbladder Hypoplasia, a Congenital Abnormality of the Gallbladder: A Case Report

Gall bladder agenesis: a surgeon’s dilemma

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