Agenesis of the gallbladder as a rare misdiagnosis

• Authors: Oguzhan Karatepe , Merih Altiok , Muharrem Battal , Gökhan Adas , Osman Bilgin Gülcicek , Ersin Acet , Servet Karahan
• Languages of publication: EN

Abstracts

EN

Anatomic anomalies of the biliary tract are not uncommon, but gallbladder and cystic duct agenesis is rare, with an incidence of 0.01% to 0.04% and a frequency of 0.016% at autopsy. It is usually asymptomatic and discovered incidentally. Although this congenital anomaly is infrequent, it may be encountered in clinical practice; thus, the surgeon should be aware of the associated problems. A correct preoperative diagnosis of this congenital anomaly is difficult to establish because of the nonspecific nature of the symptoms and the relative inaccuracy of the currently available diagnostic tests. Here we report a patient with a preoperative false diagnosis of cholelithiasis that was found on laparoscopy and open surgery to be agenesis of the gallbladder.

Keywords

EN

Aganesis; Gallblader; Cystic duct

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2009
• Volume: 4
• Issue: 1
• Pages: 128-130

Dates

published

1 - 3 - 2009

online

11 - 2 - 2009

Contributors

author

Oguzhan Karatepe

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

author

Merih Altiok

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

author

Muharrem Battal

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

author

Gökhan Adas

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

author

Osman Bilgin Gülcicek

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

author

Ersin Acet

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

author

Servet Karahan

• Department of General Surgery, Okmeydani Training and Research Hospital, Istanbul, 34715, Turkey

References

• [1] Belli G., D’Agostino A., Iannelli A., Rotondano G., Ceccarelli P., Isolated agenesis of the gallbladder, Minerva Chir., 1997, 52, 1119–1121 [PubMed]
• [2] Cabajo C.M., Martin del Olmo J.C., Blanco A.J., Atienza S.R., Gallbladder and cystic duct absence. An infrequent malformation in laparoscopic surgery, Surg. Endosc., 1997, 11, 483–484 http://dx.doi.org/10.1007/s004649900397[Crossref]
• [3] Sarli L., Violi V., Gobbi S., Laparoscopic diagnosis of gallbladder agenesis, Surg. Endosc., 2000, 14, 373 [PubMed]
• [4] Dell’Abate P., Iosca A., Galimberti A., Faraci R., Soliani P., Foggi E., Agenesis of the gallbladder found at laparoscopy in an adult patient with cardiac malformation, Dig. Surg. 2000, 17, 284–286 http://dx.doi.org/10.1159/000018851[Crossref]
• [5] Gotohda N., Itano S., Horiki S., Endo A., Nakao A., Terada N., et al., Gallbladder agenesis with no other biliary tract abnormality: report of a case and review of the literature, J. Hepatobiliary Pancreat. Surg., 2000, 7, 327–330 http://dx.doi.org/10.1007/s005340070057[Crossref]
• [6] Raule M., Bagni C.M., Marinoni M., Meroni M., Perazzoli G., Trivellini G., Agenesis of the gall bladder in adults: a diagnostic problem, Br. J. Surg., 1994, 81, 676 http://dx.doi.org/10.1002/bjs.1800810514[Crossref]
• [7] Fisichella P.M., Di Stefano A., Di Carlo I., La Greca G., Russello D., Latteri F., Isolated agenesis of the gallbladder: report of a case, Surg. Today., 2002, 32, 78–80 http://dx.doi.org/10.1007/s595-002-8120-2[Crossref]
• [8] Bani-Hani K.E., Agenesis of the gallbladder: difficulties in management. J. Gastroenterol. Hepatol., 2005, 20, 671–675 http://dx.doi.org/10.1111/j.1440-1746.2005.03740.x[Crossref]
• [9] Watemberg S., Rahmani H., Avrahami R., Nudelman I.L., Deutsch A.A., Agenesis of the gallbladder found at laparoscopy for cholecystectomy: an unpleasant surprise, Am. J. Gastroenterol., 1995, 90, 1020–1021 [PubMed]
• [10] Nardello O., Muggianu M., Cagetti M., Agenesis of the gallbladder, Ann. Ital. Chir., 2007, 78, 45–7 [PubMed]
• [11] Di Vita G., Sciumè C., Lauria Lauria G., Patti R., Agenesis of the gallbladder, G. Chir., 2000, 21, 33–6 http://dx.doi.org/10.1159/000030108[Crossref]
• [12] Wilson J.E., Deitrick J.E., Agenesis of the gallbladder: case report and familial investigation, Surgery, 1986, 99, 106–9 [PubMed]
• [13] Hammond D.I., Unusual causes of sonographic nonvisualization or nonrecognition of the gallbladder: a review, J. Clin. Ultrasound., 1988, 16, 77–85 http://dx.doi.org/10.1002/jcu.1870160203[Crossref]
• [14] McDonald K.L., Lwin T., Sonographic and scintigraphic evaluation of gallbladder duplication, Clin. Nucl. Med., 1986, 11, 692–3 http://dx.doi.org/10.1097/00003072-198610000-00004[Crossref]
• [15] Raptopoulos V., Moss L., Reuter K., Kleinman P., Comparison of real-time and gray-scale static ultrasonic cholecystography, Radiology, 1981, 140, 153–4 [Crossref][PubMed]
• [16] Ishida M., Egawa S., Takahashi Y., Kohari M., Ohwada Y., Unno M., Gallbladder agenesis with a stone in the cystic duct bud, J. Hepatobiliary Pancreat. Surg., 2008, 15, 220–3 http://dx.doi.org/10.1007/s00534-007-1236-3[Crossref]

Identifiers

DOI

10.2478/s11536-008-0043-9