Gallbladder agenesis: A case report and review of the literature

Pipia, Irakli; Kenchadze, George; Demetrashvili, Zaza; Nemsadze, Grigol; Jamburia, Lika; Zamtaradze, Tamari; Abiatari, Ivane

doi:10.1016/j.ijscr.2018.10.061

Cited by 17 publications

(31 citation statements)

References 15 publications

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“…Therefore, it is important to think of GA when the preoperative ultrasound is unable to visualize the gallbladder (hyperechoic material in the gallbladder fossa, small contracted, shrunken, scarred, sclerotic, or atrophied gallbladder); moreover, ultrasound is highly operator and habitus and bowel gas-dependent [1][2].…”

Section: Discussionmentioning

confidence: 99%

Gallbladder Agenesis: Report of a Preoperative Diagnosis With Magnetic Resonance Cholangiopancreatography

D’Orazio

Famà

Martorana

et al. 2020

Cureus

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Agenesis of the gallbladder is an extremely rare congenital entity with shaded clinical and radiologic features, which make the preoperative diagnosis really challenging. Here, we report a case of a 52-year-old symptomatic female with biliary symptoms and contracted gallbladder at ultrasound (US). The final diagnosis was made with magnetic resonance cholangiopancreatography (MRCP) and the treatment was conservative. However, diagnosing this condition preoperatively is still challenging. However, with innovations in terms of biliary tract imaging technique, and with better knowledge of this entity, many unnecessary surgical procedures might be avoided.

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Section: Discussionmentioning

confidence: 99%

Gallbladder Agenesis: Report of a Preoperative Diagnosis With Magnetic Resonance Cholangiopancreatography

D’Orazio

Famà

Martorana

et al. 2020

Cureus

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“…6 Hence most of agenesis is only diagnosed intraoperatively and confirmed with post-operative magnetic resonance cholangiopancreatography (MRCP). 7 In this case report we discuss a case of 42-year-old male who presented with right upper quadrant pain which was confirmed on ultrasonography as gall-stone disease and later found to have gall bladder agenesis intraoperatively.…”

Section: Introductionmentioning

confidence: 94%

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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“…Azon esetekben, amikor az epehólyag nem látható, a differenciáldiagnózis egy összehúzódott vagy zsugorodott hólyaggal szemben a WES-hármas (wall, echo, shadow -fal, visszhang, árnyék) alapján állítható fel [7]. Az irodalomban a legtöbb esetben a legfőbb téves diagnózis oka a megvastagodott vagy zsugorodott hólyag [11]. Ez az oka annak, hogy 2010-ben Malde közzétett egy epehólyag-agenesiai diagnosztikai és menedzsmentalgoritmust, mely imitálja az epekólikát [11].…”

Section: áBraunclassified

“…Az irodalomban a legtöbb esetben a legfőbb téves diagnózis oka a megvastagodott vagy zsugorodott hólyag [11]. Ez az oka annak, hogy 2010-ben Malde közzétett egy epehólyag-agenesiai diagnosztikai és menedzsmentalgoritmust, mely imitálja az epekólikát [11]. Ezen algoritmus szerint a diagnózis felállításához MRCP, komputertomográfia (CT) és endoszkópos retrográd kolangiopankreatográfia (ERCP) szükséges.…”

Section: áBraunclassified

“…Az évek során állandó vita keletkezett e patológia megfelelő módjának megoldására: "Át kellene konvertálni a laparoszkópos műtétet nyílt műtétté?" Egyfelől sok sebész azt állította, hogy nem szükséges konvertálni, mivel laparoszkóp segítségével is jól megvizsgálható a hasüreg [11], másrészt a vizsgálat során kizárható egy ectopiás epehólyag, a májon belül, bal oldalon, a kiscseplesz szintjén, ligamentum falciforme, illetve retroperitonealisan [8]. Egy másik sebészcsoport a konvertálás mellett döntött.…”

Section: áBraunclassified

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Epehólyag-agenesia. Epekövességet utánzó ritka rendellenesség egy felnőtt nőben

Molnar¹,

Sárközi

Kwizera³

et al. 2019

Orvosi Hetilap

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Gallbladder agenesis is a rare congenital malformation due to an embryological defect of the biliary system. In most cases it is asymptomatic, but it can also mimic biliary colic. We report the case of a 72-year-old Caucasian woman with a medical history of cardiovascular disease and hypercholesterolemia, under cholesterol-lowering and hypotensive treatment, who presented symptoms suggesting biliary colic. She underwent laparoscopic surgery that confirmed the final diagnosis. We present our approach in this rare case as well as a brief review of medical literature. The surgeon should decide intraoperatively whether to continue and search for a possible ectopic gallbladder or investigate further with imaging studies. Gallbladder agenesis is a rare condition that the surgeon must be aware of. In the cases of inconclusive or indirect signs of cholelithiasis, the best approach is complementary imaging investigations such as magnetic resonance cholangiopancreatography in order to avoid surgery. Orv Hetil. 2019; 160(38): 1510–1513.

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Gallbladder agenesis: A case report and review of the literature

Cited by 17 publications

References 15 publications

Gallbladder Agenesis: Report of a Preoperative Diagnosis With Magnetic Resonance Cholangiopancreatography

Gallbladder Agenesis: Report of a Preoperative Diagnosis With Magnetic Resonance Cholangiopancreatography

Gall bladder agenesis: a surgeon’s dilemma

Epehólyag-agenesia. Epekövességet utánzó ritka rendellenesség egy felnőtt nőben

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