Gallbladder agenesis with midgut malrotation

Calder, Nuala; Carneiro, Herman; Khwaja, Haris A.; Thompson, J. N.

doi:10.1136/bcr.10.2011.5053

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…Los pacientes con agenesia de la vesícula biliar han sido categorizados en tres grupos dependiendo de la presentación clínica: 1) aquellos con múltiples anomalías fetales detectadas perinatalmente (15%), 2) casos asintomáticos encontrados en la autopsia o incidentalmente durante la operación, y 3) casos sintomáticos que suelen presentarse en la tercera a cuarta décadas de la vida (50%) 8,9 .…”

Section: Discussionunclassified

Agenesia vesicular y colangitis, una asociación infrecuente: reporte de caso

González-Covarrubias¹,

Pineda-Tapia²,

Becerril-Hernández³

et al. 2021

CIRU

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Antecedentes: La agenesia vesicular es una malformación congénita poco frecuente. Caso clínico: Varón de 65 años con diagnóstico preoperatorio de agenesia vesicular, cursando con colangitis, colangiopancreatografía retrógrada endoscópica insatisfactoria, resolución por laparotomía, exploración y drenaje biliar. Discusión: La asociación de colangitis y agenesia vesicular ha sido poco reportada en la literatura. Un diagnóstico preoperatorio disminuye el riesgo quirúrgico. La alteración anatómica representa un riesgo de lesión iatrogénica durante la exploración quirúrgica. Conclusiones: La agenesia vesicular es una afección rara, y aún más infrecuente es su asociación con colangitis. Su diagnóstico preoperatorio facilita un plan quirúrgico y evita lesiones iatrogénicas.

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Section: Discussionunclassified

Agenesia vesicular y colangitis, una asociación infrecuente: reporte de caso

González-Covarrubias¹,

Pineda-Tapia²,

Becerril-Hernández³

et al. 2021

CIRU

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“…Almost all of our colleagues arrived at an incorrect preoperative diagnosis, even after subjecting the patient to further radiological investigation. 17 20 Despite the inconsistencies detected in the abdominal US, a preoperative diagnosis was established only in a few cases without the need for surgery. 16 …”

Section: Discussionmentioning

confidence: 99%

Gallbladder agenesis: A case report and brief review

Bianco

Frongillo

Agnes

et al. 2018

Ann Hepatobiliary Pancreat Surg

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Agenesis of the gallbladder and cystic duct represents one of the rarest anomalies of the biliary system, with a reported incidence of 0.007% to 0.027%. Almost half of the patients develop common duct stones and 23% of them manifest signs and symptoms that mimic biliary colic. We present the case of a woman presenting with symptoms of biliary colic. Based on the clinical findings and after abdominal ultrasonography, which showed hyperechoic material in the gallbladder fossa, a laparoscopic cholecystectomy was planned. Laparoscopy failed to reveal either gallbladder or cystic duct. The procedure was continued to further search for ectopic sites of gallbladder. A condition of gallbladder agenesis was hypothesized and the procedure was aborted without dissection of hepatic pedicle or conversion to laparotomy. Agenesis of gallbladder and cystic duct was confirmed via pos-operative magnetic resonance cholangiopancreatography. We report our experience with regard to the challenges associated with the diagnosis and management, and a brief review of the literature of this rare pathology.

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“…GA is a rare entity which is not easily diagnosed with US scan. US can even mislead into interpreting it as a contracted and fibrotic gallbladder . Usually, even when the gallbladder is not visualized, GA is not considered as a potential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Usually, even when the gallbladder is not visualized, GA is not considered as a potential diagnosis. However, in the absence of the Wall‐Echo‐Stone triad, that is, visualization of the gallbladder's wall, echo of a stone, and an acoustic shadow, the possibility of a GA should also be taken into account . There must be an awareness of the limitations of the radiological investigations on the biliary tree and have a high index of suspicion for GA if the gallbladder is not visualized.…”

Section: Discussionmentioning

confidence: 99%

“…US can even mislead into interpreting it as a contracted and fibrotic gallbladder. 7,12 Usually, even when the gallbladder is not visualized, GA is not considered as a potential diagnosis. However, in the absence of the Wall-Echo-Stone triad, that is, visualization of the gallbladder's wall, echo of a stone, and an acoustic shadow, the possibility of a GA should also be taken into account.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful liver transplantation using a whole liver graft with gallbladder agenesis: First report in pediatric liver transplantation

Pessanha

Alexandrino

Piedade

et al. 2018

Pediatric Transplantation

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Introduction Gallbladder agenesis (GA) is a rare congenital condition, occurring in approximately 40/100.000. It is likely due to an embryologic mishap in the development of the gallbladder bud and can be associated with other congenital variations in biliary anatomy. However, the liver likely suffers no functional impairment and can be safely used for transplantation. To the best of our knowledge, this is the first case report describing a pediatric liver transplantation (PLT) using a graft with GA. Case report A 10‐year‐old boy with methylmalonic aciduria underwent isolated liver transplant with a deceased graft from a donor with no relevant medical or surgical history and normal laboratory tests. During the back‐table liver preparation procedure, no evidence of gallbladder was found, raising the possibility of a GA, confirmed by intraoperative cholangiography. The liver transplantation procedure was uneventful despite the particularly rare combination of biliary tree anatomic distribution found in the cholangiography. At 1 year of follow‐up, there were no clinical, laboratory, or imagological signs of bile leaks or anastomotic site stricture. Discussion The present report highlights the importance of the accurate knowledge of the vasculobiliary anatomic variation, particularly in extremely rare cases, such as GA, and in complex hepatobiliary procedures, such as PLT. In our opinion, grafts with GA should not be discarded for transplantation.

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Gallbladder agenesis with midgut malrotation

Cited by 3 publications

References 9 publications

Agenesia vesicular y colangitis, una asociación infrecuente: reporte de caso

Agenesia vesicular y colangitis, una asociación infrecuente: reporte de caso

Gallbladder agenesis: A case report and brief review

Successful liver transplantation using a whole liver graft with gallbladder agenesis: First report in pediatric liver transplantation

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