Document Detail


Agenesis of the gallbladder: a dangerously misdiagnosed malformation.
MedLine Citation:
PMID:  16273658     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Nicolas Peloponissios; Michel Gillet; Rene Cavin; Nermin Halkic
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  11     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-11-07     Completed Date:  2006-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  6228-31     Citation Subset:  IM    
Affiliation:
Department of Surgery/CHUV/BH 15, Lausanne 1011, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / pathology*
Adult
Aged
Diagnostic Errors
Gallbladder / abnormalities*
Humans
Laparoscopy
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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