Ectopia and Agenesis of the Gall‐bladder: A Report of Two Sets of Twins and Review of the Literature

Sugrue, Michael; Gani, Jon; Sarre, R. G.; Waits, John O.

doi:10.1111/j.1445-2197.1991.tb00162.x

Cited by 9 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the high accuracy of the modern US and other diagnostic imaging techniques, the preoperative diagnosis of AGB has been considered extremely difficult and nearly all diagnoses on symptomatic patients are made at laparotomy or during attempted laparoscopic cholecystectomy [27] . Although ideally AGB should be diagnosed before surgery, this has been documented in only few reports [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] . This is mainly because the radiological investigative methods for GB diseases present sensitivity of <100% for the identification of the GB, and US is highly operator-dependent [24] , [26] .…”

Section: Discussionmentioning

confidence: 99%

Agenesis of gall bladder in laparoscopic cholecystectomy—A case report

Al-Hakkak¹

2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

HighlightsAgenesis of the gall bladder is extremely rare, A high index of suspicion is mandatory for diagnosis.The awareness of physician, radiologist and the surgeons of the possibility of this condition and of the problems posed by it.The surgeon to attempt confirmation of diagnosis, when suspected, by nonoperative methods.Non-visualized gall bladder in laparoscopic cholecystectomy is challenging.No extensive dissection was needed or change to open method unless you sure that the gall bladder is present.

show abstract

Section: Discussionmentioning

confidence: 99%

Agenesis of gall bladder in laparoscopic cholecystectomy—A case report

Al-Hakkak¹

2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Two of these multigenerational studies seem to indicate that the anomaly is a non-sex-linked trait with variable penetrance, although the actual incidence is not known. Other studies have also shown its familial tendency [9,10] .…”

Section: Discussionmentioning

confidence: 99%

“…The operative strategy should include thorough exploration of the area from the duodenum up to the bifurcation of the hepatic ducts. Sherson and others [9,12] have shown the possible ectopic location of the GB (lesser omentum -retroperitoneal -retrohepatic -falciform ligament -retroduodenal -retropancreatic). Operative cholangiography as well is essential to exclude hypoplastic or aberrantly located GB and search for stones within the biliary tree in jaundiced patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Agenesis of the Gallbladder with Primary Choledochal Stones

Afifi¹,

Atef²,

Wael³

2006

Med Princ Pract

View full text Add to dashboard Cite

Objective: To report a case of true agenesis of the gallbladder (GB) with obstructive jaundice due to primary choledochal stone. Clinical Presentation and Intervention: A 66-year-old woman presented with a full picture of obstructive jaundice, both clinically and biochemically. Ultrasound and endoscopic retrograde cholangiopancreatography failed to show the GB but showed dilatation of extrahepatic ducts with a stone in the common bile duct (CBD). Upon exploration, the GB was found to be absent and through a choledochotomy, the stone in the CBD was removed. Conclusion: This case shows that proper exploratory laparotomy and intraoperative cholangiography may be required to confirm absence of the GB.

show abstract

“…Unseres Wissens sind jedoch erst 3 Fä lle einer nicht operativ diagnostizierten Agenesie bekannt [14,21].…”

Section: Vorgehenunclassified

Agenesis of the gallbladder in adults: a laparoscopic diagnosis

Kestenholz

Flüe

Harder

1997

Chirurg

View full text Add to dashboard Cite

Failure to find the gallbladder at the usual or most common atypical sites during surgery for cholecystolithiasis is a rare but known problem. Although ultrasonography has 95% sensitivity for the diagnosis of cholelithiasis, occasionally a small contracted gallbladder with stones and chronic cholecystitis will be difficult to visualize and can lead to erroneous interpretation. We report on the case of a patient presenting with abdominal colic and ultrasonographically confirmed cholecystolithiasis. During laparoscopic cholecystectomy, the gallbladder could not be detected. After laparoscopic staging followed by endoscopic retrograde cholangiopancreatography and abdominal computed tomography, agenesis of the gallbladder was confirmed. This method can be considered for diagnosis of gallbladder agenesis without the need for laparotomy and thorough exploration.

show abstract

Ectopia and Agenesis of the Gall‐bladder: A Report of Two Sets of Twins and Review of the Literature

Abstract: We report two sets of twins with agenesis and ectopia of the gall‐bladder. It is important to be aware of this condition, as many of these patients present with biliary‐type pain and have unnecessary laparotomies. The literature on this condition is reviewed.

Cited by 9 publications

References 10 publications

Agenesis of gall bladder in laparoscopic cholecystectomy—A case report

Agenesis of gall bladder in laparoscopic cholecystectomy—A case report

Agenesis of the Gallbladder with Primary Choledochal Stones

Agenesis of the gallbladder in adults: a laparoscopic diagnosis

Contact Info

Product

Resources

About