Agenesis of the gallbladder: a dangerously misdiagnosed malformation.

Details

Serval ID
serval:BIB_D8C9AE7F8A3F
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Agenesis of the gallbladder: a dangerously misdiagnosed malformation.
Journal
World Journal of Gastroenterology
Author(s)
Peloponissios N., Gillet M., Cavin R., Halkic N.
ISSN
1007-9327
Publication state
Published
Issued date
2005
Peer-reviewed
Oui
Volume
11
Number
39
Pages
6228-6231
Language
english
Notes
Publication types: Case Reports ; Journal Article
Abstract
Isolated agenesis of the gallbladder is a rare anomaly, often asymptomatic. However, one patient out of four presented with right upper abdominal pain, nausea, and fatty food intolerance. The condition is frequently mistaken with an excluded or sclero-atrophic gallbladder, regardless of the imaging modality used. Consequently, AG often leads to unnecessary and potentially dangerous laparoscopic surgery as described in a few case reports over the last 10 years. The aim of this study is to clarify the diagnostic and therapeutic approach of this unusual pathology. Two cases seen in our institutions were retrospectively reviewed, together with a review of the American and European literature. During laparoscopy, the absence of normal anatomical structures and the impossibility of pulling on the gallbladder to expose and dissect the triangle of Callot increases the risk of iatrogenic injury to biliary or portal structures. Depending on the experiment of the surgeon in laparoscopic procedure, this has to be taken into account to decide a conversion to laparotomy. A high index of suspicion is necessary when interpreting the radiological images. In case of doubt, a MRI-cholangiography is mandatory. Because of possible inherited transmission, relatives with a history of biliary symptoms should be investigated.
Keywords
Abdominal Pain/pathology, Adult, Aged, Diagnostic Errors, Gallbladder/abnormalities, Humans, Laparoscopy, Male
Pubmed
Web of science
Create date
18/02/2008 13:30
Last modification date
20/08/2019 15:58
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