Perzabal ACT, García PRJM, González RLÁ

Language: Spanish
References: 12
Page: 23-26
PDF size: 263.44 Kb.

ABSTRACT

Introduction: Agenesis of the gallbladder is an extremely rare congenital malformation. Pain in the right hypochondrium is the most frequent presenting symptom and occurs in up to 50% of these patients. Ultrasound usually reports an atrophic gallbladder, thus integrating an erroneous diagnosis of cholecystitis, cholelithiasis or choledocholithiasis. Diagnosis of gallbladder agenesis requires gamma imaging studies, which are usually requested after intraoperative non-visualization of the gallbladder. Case report: A 27-year-old male patient attended the outpatient clinic, with no relevant personal history, complaining with pain in the right hypochondrium, without alterations in liver function tests. An ultrasound is requested that reports a scleroatrophic gallbladder. With the diagnosis of atrophic gallbladder due to cholelithiasis, cholecystectomy was decided by a laparoscopic approach during which the gallbladder was not identified in its normal or ectopic location during exploration of the region, terminating the procedure. After one month of follow-up, the patient is asymptomatic. Conclusions: Vesicular agenesis is a rare entity, its diagnosis is performed in the majority of cases in the transoperative period. Symptomatology suggestive of biliary colic with an ultrasound reporting a scleroatrophic gallbladder leads to an erroneous diagnosis and to subject a healthy patient to a surgical procedure. When performing the intraoperative diagnosis, the surgical approach focuses on avoiding iatrogenic incidents during surgical exploration.

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