Agenesis of the gallbladder: a dangerously misdiagnosed malformation.

Détails

ID Serval
serval:BIB_D8C9AE7F8A3F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Agenesis of the gallbladder: a dangerously misdiagnosed malformation.
Périodique
World Journal of Gastroenterology
Auteur(s)
Peloponissios N., Gillet M., Cavin R., Halkic N.
ISSN
1007-9327
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Volume
11
Numéro
39
Pages
6228-6231
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
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.
Mots-clé
Abdominal Pain/pathology, Adult, Aged, Diagnostic Errors, Gallbladder/abnormalities, Humans, Laparoscopy, Male
Pubmed
Web of science
Création de la notice
18/02/2008 14:30
Dernière modification de la notice
03/03/2018 21:51
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