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2012, Number 1

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Rev Med Inst Mex Seguro Soc 2012; 50 (1)

Ageneses of the gallbladder: revision of the literature and a case reported

Flores-Valencia JG, Vital-Miranda SN, Mondragón-Romano SP, de la Garza-Salinas LH
Full text How to cite this article

Language: Spanish
References: 5
Page: 63-66
PDF size: 50.15 Kb.


Key words:

gallbladder, colecystolithiasis.

ABSTRACT

Background: ageneses of the gallblander (AGB) is an infrequent congenital malformation. It was described by Lemery in 1701, for the first time. Until today, it has been described 400 cases worldwide. The objective was to present a case of AGB and review the literature.
Clinical case: female of 61 years who was attended for relating colic pain, intensive and persistent in right upper abdomen during two days, accompanied of heartburn and nausea; relaxed abdomen with light pain to deep palpation in right abdomen, without peritoneal irritability. The lab showed Hb 12,8 g/dL, Hct. 40,04 %, WBC 5090/μL, PlT 266000 μL, direct bilirubin 0.3 mg/dL, bilirubin indirect 0.5 mg/dL, PT 7.4 g/dL, ALB 4 g/dL, glucose 107 md/dL, urea 36 md/dL. USG showed confuse intraliverworts and extraliverworts without evidence of dilation, gallbladder partially, identified wealthy litos in its hinterland and/or calcification of its wall.
Conclusions: the case presented symptoms specific of gallbladder disease without blockage of hepatic via as it is described in the literature, the study USG was not specific. The cholangiography and CT revealed absence of gallbladder and corroborated diagnosis of ageneses vesicular.


REFERENCES

  1. Gaxiola-Werge R, Gómez-Gutiérrez NG, Alcántara-Martínez FJ, Valero-Ontiveros UJ. Agenesia vesicular y coledocolitiasis: presentación de una paciente. Cir Gen 2000;22 (4):362-366.

  2. Elorza-Orúe JL. Agenesia de la vesícula biliar. Presentación de un caso estudiado por RM-colangiografía. Cir Esp 2001;69(4):427-428.

  3. Carrascoso A, Chércoles A, Rodríguez R, Sánchez V, Gil-Sierra A. Agenesia vesicular. A propósito de dos casos estudiados con colangio-TC. En: XXV Congreso Nacional de la Sociedad Española de Radiología Médica. Madrid: SERAM; 2000.

  4. Pérez-Moreiras MI, Couselo-Villanueva JM, Maseda-Díaz O, Arija-Val F. Una verdadera agenesia vesicular. Cir Esp 2007;82(4):246-247.

  5. Sousa-Escandón A, Rodríguez-García J, Sánchez-Ibáñez J, Gayoso-García R, Ghanimé-Saide G, Rodríguez-Pérez H. Agenesia de la vesícula biliar. Revisión estadística de la literatura española y aportación de una nueva observación. Rev Esp Enf Ap Digest 1989;75:135-142.




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C?MO CITAR (Vancouver)

Rev Med Inst Mex Seguro Soc. 2012;50