Agenesis of gallbladder — our experience and a review of literature

Chowbey, Pradeep; Dey, Ashish; Khullar, Rajesh; Sharma, Anil; Soni, Vandana; Baijal, Manish; Mittal, Tarun

doi:10.1007/s12262-009-0066-8

Cited by 11 publications

(21 citation statements)

References 6 publications

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“…It has been postulated that these symptoms can be secondary to bile stasis. Patients with GA often have a dilated hepatic duct that takes up the role of bile storage, which predisposes to cholestasis, infection and duct stones 10…”

Section: Discussionmentioning

confidence: 99%

Association between gallbladder agenesis and choledochal cyst: cause or coincidence?

et al. 2019

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This case report describes an extremely rare association between gallbladder agenesis and choledochal cyst (CC). A 9-year-old girl presented with recurrent abdominal pain in the right upper quadrant. Radiological studies revealed a CC type IVa and an agenesis of gallbladder and cystic duct. Due to the possibility of biliary neoplasm, the patient underwent cyst resection and hepaticoduodenostomy. Histopathological findings showed inflamed fibrous tissue covered by biliary epithelium with no evidence of malignancy.

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Section: Discussionmentioning

confidence: 99%

Association between gallbladder agenesis and choledochal cyst: cause or coincidence?

et al. 2019

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“…Dans les cas confirmés d’agénésie de la vésicule biliaire, le compte rendu d’échographie souvent rapporté par le radiologue est une vésicule scléroatrophique lithiasique; comme le cas de deux de nos observations. Ces faux positifs peuvent être expliqués par l’interposition d’anses grêles dans la fossette vésiculaire [ 13 ], l’interposition de plis péritonéaux périportaux [ 12 ] ou encore par des foyers de calcifications hépatiques [ 14 ]. Lanon visualisation d’une vésicule biliaire à l’échographie et au scanner nécessite la confirmation du diagnostic d’agénésie par la pratique d’une CPRM.…”

Section: Discussionunclassified

“…Ces malades peuvent être opérés soit par voie classique, soit par voie cœlioscopique. Au cours de l’intervention, on recherchera au mieux les différents sites ectopiques de la vésicule biliaireen s’aidant d’une échographie per opératoire si elle est disponible [ 14 ]. Par contre, on ne voit pas l’intérêt d’une conversion dans ce but.…”

Section: Discussionunclassified

Agénésie de la vésicule biliaire: à propos de trois cas

Chouchaine¹,

Fodha²,

Abdelkefi³

et al. 2017

Pan Afr Med J

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L’agénésie de la vésicule biliaire est une anomalie congénitale rare. Le but de ce travail est d’étudier, à travers trois cas que nous rapportons, les aspects épidémiologiques de cette affection ainsi que les particularités de diagnostic et de prise en charge thérapeutique. Les 2 adultes ont été admis pour coliques hépatiques et troubles dyspeptiques avec à l’échographie une vésicule scléroatrophique multilithiasique. L’un des deux a eu un scanner qui a objectivé l’aspect d’un calcul au niveau d’une vésicule scléroatrophique. Ces 2 malades ont été opéréspar voie classique à tort pour lithiase vésiculaire. L’absence de vésicule biliaire a été découverte en per opératoire. Afin de confirmer le diagnostic en post opératoire, on a pratiqué une bili-IRM pour la 1ère patiente. L’autre malade a été perdu de vue. Notre 3ème cas, une enfant de 13 ans, hospitalisée pour pancréatite aigüe et l’agénésie vésiculaire a été suspectée devant l’aspect scannographique, puis confirmée par la Bili-IRM et elle n’a pas été opérée.

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“…The mistake here leads to operative intervention, which was repeated in our case too. 6,15,18 Malde algorithm published in 2010 suggests further imaging modality according to accuracy is MRCP, CT, ERCP and endoscopic ultrasound according to availability if gall bladder is not visualized properly in sonography. 18 Of all the investigation in cases of doubtful gall bladder, MRCP is the test of choice due to the fact that an ectopic gallbladder as well as anomalies of biliary system can be identified on MRCP.…”

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

confidence: 99%

“…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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Agenesis of gallbladder — our experience and a review of literature

Abstract: Background Agenesis of gallbladder is a rare congenital anomaly. Variable diagnostic approaches, perioperative management strategies and postoperative follow up protocols provide a dilemma to its correct diagnosis and management.

Cited by 11 publications

References 6 publications

Association between gallbladder agenesis and choledochal cyst: cause or coincidence?

Association between gallbladder agenesis and choledochal cyst: cause or coincidence?

Agénésie de la vésicule biliaire: à propos de trois cas

Gall bladder agenesis: a surgeon’s dilemma

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