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Agenesis of the gallbladder--a case report
M Ibrarullah1, S S Sikora, V K Kapoor
1Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
The Japanese Journal of Surgery
|September 1, 1991
Summary
Agenesis of the gallbladder is a rare condition that can mimic gallstones. Diagnosis requires advanced imaging like HIDA scans, not just standard tests.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Gallbladder agenesis is an extremely rare congenital anomaly.
- It often presents with non-specific biliary symptoms, complicating diagnosis.
Observation:
- A young man with epigastric pain initially diagnosed with gallstones via ultrasonography.
- Conventional imaging like oral cholecystography failed to visualize the gallbladder.
Findings:
- The diagnosis of gallbladder agenesis was confirmed by intra-operative cholangiography.
- A postoperative hepatic iminodiacetic acid (HIDA) scan further validated the agenesis diagnosis.
Implications:
- This case highlights the diagnostic challenges of gallbladder agenesis.
- Advanced imaging techniques are crucial for accurate diagnosis of this rare anomaly.