Gallbladder and cystic duct absence

Caballero, María; Olmo, Juan Carlos Martín del; Alvarez, J. I. Blanco; Sánchez, R

doi:10.1007/s004649900397

Cited by 24 publications

(17 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, lots of “laparoscopic” diagnoses are reported in the literature. [37] If the diagnosis of GA is made during operation, the surgeon must prove GA by examining the most common sites for ectopic gallbladder (intrahepatic, retrohepatic, on the left side, within the leaves of the lesser omentum, within the falciform ligament, retroduodenal, retropancreatic, retroperitoneal). [5] Therefore, these patients are exposed to complications from prolonged exploration and it is suggested to abort the procedure rather than complete further exploration, if a gallbladder is not found on laparoscopy, since open exploration for possible ectopic gallbladder increases the risk of complications.…”

Section: Discussionmentioning

confidence: 99%

Agenesis of the Gallbladder with the Presence of a Small Dysmorphic Cyst: Role of Magnetic Resonance Cholangiopancreatography

Pierro¹,

Martucci

Maselli³

et al. 2012

Journal of Clinical Imaging Science

View full text Add to dashboard Cite

We report a case of agenesis of the gallbladder with the presence of a small dysmorphic cyst, along the bed of the gallbladder and cystic duct. The patient presented to us with a suspected diagnosis of atrophic and sclerotic gallbladder that was not seen on ultrasound examination, indicating the need for cholecystectomy. The patient's medical history report mentioned agenesis of the left kidney. The existence of a congenital abnormality led us to suspect the inability to visualize the gallbladder was probably due to a possible agenesis of the gallbladder. The patient was investigated with magnetic resonance cholangiopancreatography (MRCP), that confirmed the suspected diagnosis and avoided unnecessary surgery. The hypothesis of anomalous development or agenesis of the gallbladder should always be suspected when the gallbladder is not visible on ultrasound imaging, especially in patients with other congenital anomalies. We believe that in all these patients, MRCP must always be performed to help make decisions on the treatment protocol.

show abstract

Section: Discussionmentioning

confidence: 99%

Agenesis of the Gallbladder with the Presence of a Small Dysmorphic Cyst: Role of Magnetic Resonance Cholangiopancreatography

Pierro¹,

Martucci

Maselli³

et al. 2012

Journal of Clinical Imaging Science

View full text Add to dashboard Cite

show abstract

“…Combined with the rarity of the condition, the diagnosis is infrequently made preoperatively, and so the patient undergoes unnecessary operative intervention. Intraoperatively, the risk of iatrogenic injury is higher, and so the associated morbidity of the procedure is greater [5]. …”

Section: Introductionmentioning

confidence: 99%

Gallbladder agenesis diagnosed intra-operatively: a case report

Malde

2010

J Med Case Reports

View full text Add to dashboard Cite

IntroductionAgenesis of the gallbladder is a rare congenital anomaly occurring in 13 to 65 people of a population of 100,000. The rarity of the condition, combined with clinical and radiologic features that are indistinguishable from those of more common biliary conditions, means that it is rarely diagnosed preoperatively, and patients undergo unnecessary operative intervention.Case presentationThis case report describes the case of a 79-year-old symptomatic Caucasian man who underwent laparoscopic cholecystectomy for suspected choledocholithiasis despite imaging studies raising suspicion of gallbladder agenesis. Intra-operatively, the diagnosis of gallbladder agenesis and associated common bile duct stones was made.ConclusionThe preoperative diagnosis of this rare condition is difficult to make. However, with advances in biliary tract imaging and with heightened awareness of this anomaly, fewer patients will need to undergo unnecessary operative intervention. The authors review the different imaging modalities available to help diagnose this condition and highlight the importance of being aware of this rare anomaly to avoid an operation that carries a high risk of iatrogenic injury.

show abstract

“…A few experts recommend conversion to laparotomy during surgical procedure to facilitate an accurate investigation of heterotopic sites of gallbladder 6. Other investigators proposed intraoperative cholangiograhy or invasive procedure of the bile duct1714 while others discourage these approaches due to possible complications and recommend further radiological investigation 115…”

Section: Discussionmentioning

confidence: 99%

Gallbladder agenesis: A case report and brief review

Bianco

Frongillo

Agnes

et al. 2018

Ann Hepatobiliary Pancreat Surg

View full text Add to dashboard Cite

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.

show abstract

Gallbladder and cystic duct absence

Cited by 24 publications

References 2 publications

Agenesis of the Gallbladder with the Presence of a Small Dysmorphic Cyst: Role of Magnetic Resonance Cholangiopancreatography

Agenesis of the Gallbladder with the Presence of a Small Dysmorphic Cyst: Role of Magnetic Resonance Cholangiopancreatography

Gallbladder agenesis diagnosed intra-operatively: a case report

Gallbladder agenesis: A case report and brief review

Contact Info

Product

Resources

About