Abstract
Introduction: Agenesis of gallbladder is a rare (13-65 cases/100,000) anomaly, in which about 23% patient presents with symptoms of biliary disease. In these patients, ultrasonography (UsG) abdomen frequently falsely reveals shrunken or contracted gallbladder and sometimes non- visualization of gallbladder (Gb) in Gb fossa. basis of these misinterpreted reports these patients undergone unnecessary surgery and may encounter iatrogenic biliary tract injuries and portal injuries because of excessive dissection to find out the absent gallbladder and ectopic gallbladder. case report: A 40-year-old female attended surgical outdoor with complain of pain right hypochondrium and dyspepsia since last four years patient followed-up with UsG abdomen which was suggestive of chronic cholecystitis with cholelithiasis, and common bile duct (cbD) was normal in diameter on the basis of clinical symptoms and UsG findings patient admitted and planned for laparoscopic
Highlights
Agenesis of gallbladder is a rare (13–65 cases/100,000) anomaly, in which about 23% patient presents with symptoms of biliary disease
Case Report: A 40-year-old female attended surgical outdoor with complain of pain right hypochondrium and dyspepsia since last four years patient followed-up with USG abdomen which was suggestive of chronic cholecystitis with cholelithiasis, and common bile duct (CBD) was normal in diameter on the basis of clinical symptoms and USG findings patient admitted and planned for laparoscopic
(3) Symptomatic (40–60%): In these patient agenesis discovered on USG abdomen, MRCP, Endoscopic ultrasound (EUS) and Agenesis of gallbladder was first reported by Lemery and Bergman in 1701 and 1702 respectively [2]
Summary
Agenesis of gallbladder is a rare (13–65 cases/100,000) anomaly, about 23% patient presents with symptoms of International Journal of Case Reports and Images, Vol 6 No 5, May 2015. Www.ijcasereportsandimages.com biliary disease [1, 2] In these patients, ultrasonography (USG) abdomen frequently falsely reveals shrunken or contracted gallbladder and sometimes non-visualization of gallbladder in GB fossa [3]. Ultrasonography (USG) abdomen frequently falsely reveals shrunken or contracted gallbladder and sometimes non-visualization of gallbladder in GB fossa [3] Due to these misinterpreted reports, patients undergone unnecessary surgery, and may encounter iatrogenic biliary tract injuries and portal injuries, due to excessive dissection to find out the absent gallbladder and ectopic gallbladder [4]. Preoperative imaging like MRCP and EUS should be considered [5] When such condition is encountered during intraoperatively, intraoperative cholangiography and intraoperative ultrasound can be done to rule-out agenesis and ectopic gallbladder [5]. In MRCP findings, gallbladder and cystic duct were not visualized. (3) Symptomatic (40–60%): In these patient agenesis discovered on USG abdomen, MRCP, EUS and Agenesis of gallbladder may present as [10]: (1) Neonates with multiple fetal anomalies (15–16%): In these patients, agenesis usually diagnosed on autopsy because of death in perinatal period due to associated GIT, GUT, CVS, anomalies. (2) Asymptomatic (35%): In these patients, agenesis recognized at autopsy and during laparotomy for other cause. (3) Symptomatic (40–60%): In these patient agenesis discovered on USG abdomen, MRCP, EUS and
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
