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Updated: Aug 6, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Agenesis of the gallbladder with primary choledochal stones
El-Sayed M Afifi1, Husseiny Atef, Baidas Wael
1Department of Surgery, Al-Sabah Hospital, Kuwait. graa7_no1@hotmail.com
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.
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