Agenesis of the gallbladder with primary choledochal stones.
نویسندگان
چکیده
OBJECTIVE To report a case of true agenesis of the gallbladder (GB) with obstructive jaundice due to primary choledochal stone. CLINICAL PRESENTATION AND INTERVENTION A 66-year-old woman presented with a full picture of obstructive jaundice, both clinically and biochemically. Ultrasound and endoscopic retrograde cholangiopancreatography failed to show the GB but showed dilatation of extrahepatic ducts with a stone in the common bile duct (CBD). Upon exploration, the GB was found to be absent and through a choledochotomy, the stone in the CBD was removed. CONCLUSION This case shows that proper exploratory laparotomy and intraoperative cholangiography may be required to confirm absence of the GB.
منابع مشابه
A Choledochal Cyst Resulting in Obstructive Jaundice in a Case with Gallbladder Agenesis: Report of a Case and Review of the Literature
Agenesis of the gallbladder (AGB) and choledochal cyst (CC) are among the rare conditions of congenital extrahepatic biliary tree anomalies. AGB results from the failure of the cystic bud to develop in the 4th week of intrauterine life. It normally develops from the caudal part of the hepatic diverticulum (1, 2). CCs are single or multiple dilatations of the intrahepatic or extrahepatic biliary...
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عنوان ژورنال:
- Medical principles and practice : international journal of the Kuwait University, Health Science Centre
دوره 15 5 شماره
صفحات -
تاریخ انتشار 2006