Agenesis of Gall Bladder
Journal Title: Gujarat Medical Journal - Year 2019, Vol 74, Issue 1
Abstract
Although biliary system variants are common, isolated congenital absence / agenesis of gall bladder (AGB) is extremely rare. Despite an absent gallbladder, half of the patients present with symptoms similar to biliary colic. The patients without gallbladder are usually operated because a 'false' interpretation of ultrasonography. When ultrasonography reveals a 'sclero-atrophic' gallbladder or in cases of non-visualization in other imaging modalities, the need to further preoperative investigation must be in the surgeon's mind. It seems that MRCP is the most accurate non-invasive diagnostic tool to establish the diagnosis of AGB and to avoid unnecessary and risky surgery when combined with the other non- invasive investigations. When confronted with this situation on table the surgeon should abort the procedure, in absence of other pathology. Further dissection is not necessary and it may risk injury to vital structure. Diagnosis may be confirmed later by MRCP. The treatment is conservative with analgesics and anti spasmodics.
Authors and Affiliations
Hiren Vaidya, Aditya Vaidya
Keywords
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