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Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late
Agenesis of the gallbladder (AGB) without extrahepatic biliary atresia is a rare congenital disease. Ultrasound (US) examination can be misleading and reveal a contracted shrunken gallbladder when there is not any and the patient in most cases is taken to the OR for a standard cholecystectomy. We de...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034799/ https://www.ncbi.nlm.nih.gov/pubmed/35915520 http://dx.doi.org/10.4103/jmas.jmas_345_21 |
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author | Portale, Giuseppe Mazzeo, Antonio Cipollari, Chiara Isoardi, Roberto Spolverato, Y Zuin, Matteo Fiscon, Valentino |
author_facet | Portale, Giuseppe Mazzeo, Antonio Cipollari, Chiara Isoardi, Roberto Spolverato, Y Zuin, Matteo Fiscon, Valentino |
author_sort | Portale, Giuseppe |
collection | PubMed |
description | Agenesis of the gallbladder (AGB) without extrahepatic biliary atresia is a rare congenital disease. Ultrasound (US) examination can be misleading and reveal a contracted shrunken gallbladder when there is not any and the patient in most cases is taken to the OR for a standard cholecystectomy. We describe the case of a 54-year-old female with colicky right upper abdominal pain with nausea. US revealed a contracted scleroatrophic gallbladder and the patient was listed for laparoscopic cholecystectomy. At laparoscopy, despite careful search, the gallbladder was never visualised, and the suspicion of AGB was raised. An intra-operative cholangiography confirmed the hypothesis. The post-operative recovery was uneventful, and abdominal computed tomography scan failed to show the presence of gallbladder, therefore confirming the diagnosis of AGB. Lack of awareness of this condition among radiologists and surgeons is the main reason for unnecessary operations and potentially damages to the biliary tract. |
format | Online Article Text |
id | pubmed-10034799 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-100347992023-03-24 Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late Portale, Giuseppe Mazzeo, Antonio Cipollari, Chiara Isoardi, Roberto Spolverato, Y Zuin, Matteo Fiscon, Valentino J Minim Access Surg Unusual Case Agenesis of the gallbladder (AGB) without extrahepatic biliary atresia is a rare congenital disease. Ultrasound (US) examination can be misleading and reveal a contracted shrunken gallbladder when there is not any and the patient in most cases is taken to the OR for a standard cholecystectomy. We describe the case of a 54-year-old female with colicky right upper abdominal pain with nausea. US revealed a contracted scleroatrophic gallbladder and the patient was listed for laparoscopic cholecystectomy. At laparoscopy, despite careful search, the gallbladder was never visualised, and the suspicion of AGB was raised. An intra-operative cholangiography confirmed the hypothesis. The post-operative recovery was uneventful, and abdominal computed tomography scan failed to show the presence of gallbladder, therefore confirming the diagnosis of AGB. Lack of awareness of this condition among radiologists and surgeons is the main reason for unnecessary operations and potentially damages to the biliary tract. Wolters Kluwer - Medknow 2023 2022-07-06 /pmc/articles/PMC10034799/ /pubmed/35915520 http://dx.doi.org/10.4103/jmas.jmas_345_21 Text en Copyright: © 2022 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Unusual Case Portale, Giuseppe Mazzeo, Antonio Cipollari, Chiara Isoardi, Roberto Spolverato, Y Zuin, Matteo Fiscon, Valentino Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late |
title | Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late |
title_full | Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late |
title_fullStr | Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late |
title_full_unstemmed | Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late |
title_short | Missing the main actor: Intra-operative diagnosis of agenesis of the gallbladder - When late is not ‘too’ late |
title_sort | missing the main actor: intra-operative diagnosis of agenesis of the gallbladder - when late is not ‘too’ late |
topic | Unusual Case |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034799/ https://www.ncbi.nlm.nih.gov/pubmed/35915520 http://dx.doi.org/10.4103/jmas.jmas_345_21 |
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