Espino GJE, Campos MGP, Cruz ZIN, Vásquez HM

Language: Spanish
References: 10
Page: 155-159
PDF size: 188.79 Kb.

ABSTRACT

Introduction: The less common congenital abnormality of the biliary tract corresponds to gallbladder agenesis, affecting between 0.007% and 0.09% of patients undergoing cholecystectomy. The purpose of this article is to present a clinical case diagnosed during the surgical procedure, after being diagnosed with cholecystolithiasis by ultrasonogram. Clinical case: A 37-year-old female consulted with abdominal pain that irradiated to the right scapula. The gallbladder ultrasound reported type l cholecystolithiasis. An open cholecystectomy was programmed. The gallbladder could not be identified and the procedure was finished in order to avoid harming the biliary duct. A cholangiopancreatography was requested in the postoperative, confirming the diagnosis of gallbladder agenesis. Discussion: A preoperative gallbladder agenesis diagnosis has never been reported, thus this is a great challenge to the radiologist as well as a great concern to the surgeon when performing a cholecystectomy. Conclusions: This is the less common abnormality of the biliary tract, very few cases have been reported worldwide; the diagnosis is made in the intraoperative period due to incorrect diagnostic impressions by the ultrasound. The MRCP is a complementary study that is useful when there is a doubtful ultrasonogram, avoiding unnecessary surgeries and reducing the risk of complications.

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