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Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report

BACKGROUND: Gallbladder agenesis is a biliary tract related congenital malformation with an incidence of 10–65 per 100,000 and associated with other congenital abnormalities. GA is usually asymptomatic, but sometimes patients become symptomatic. The most usual symptoms are jaundice, abdominal pain i...

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Autores principales: Malekpour Alamdari, Nasser, Zeinalpour, Adel, Ghollizadeh, Barmak, Abbasi, Maryam, Shams, Faezeh, Ebrahimi bagha, Hamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646368/
https://www.ncbi.nlm.nih.gov/pubmed/38024174
http://dx.doi.org/10.22088/cjim.14.4.751
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author Malekpour Alamdari, Nasser
Zeinalpour, Adel
Ghollizadeh, Barmak
Abbasi, Maryam
Shams, Faezeh
Ebrahimi bagha, Hamed
author_facet Malekpour Alamdari, Nasser
Zeinalpour, Adel
Ghollizadeh, Barmak
Abbasi, Maryam
Shams, Faezeh
Ebrahimi bagha, Hamed
author_sort Malekpour Alamdari, Nasser
collection PubMed
description BACKGROUND: Gallbladder agenesis is a biliary tract related congenital malformation with an incidence of 10–65 per 100,000 and associated with other congenital abnormalities. GA is usually asymptomatic, but sometimes patients become symptomatic. The most usual symptoms are jaundice, abdominal pain in the right upper quadrant, nausea and vomiting. We reported a case of GA and choledochogastric fistula in a patient with history of cholangitis. CASE PRESENTATION: A 70-year-old man presented to Emergency Department of Modarres Hospital with jaundice, fever, right upper quadrant abdominal pain, nausea and vomiting. Clinical examination and lab test demonstrated cholangitis. He underwent ultrasonography, abdominopelvic CT scan and ERCP. ERCP revealed a CBD fistula. Due to recurrent symptoms, he underwent operation and hepaticojejunostomy was done. CONCLUSION: In our knowledge, the case of GA and choledochogastric fistula is rare. Furthermore, this type of abnormalities rarely presented with cholangitis, so probable anatomical malformation of the biliary tract should always be considered as a differential diagnosis in patients with biliary disease signs and symptoms.
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spelling pubmed-106463682023-09-01 Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report Malekpour Alamdari, Nasser Zeinalpour, Adel Ghollizadeh, Barmak Abbasi, Maryam Shams, Faezeh Ebrahimi bagha, Hamed Caspian J Intern Med Case Report BACKGROUND: Gallbladder agenesis is a biliary tract related congenital malformation with an incidence of 10–65 per 100,000 and associated with other congenital abnormalities. GA is usually asymptomatic, but sometimes patients become symptomatic. The most usual symptoms are jaundice, abdominal pain in the right upper quadrant, nausea and vomiting. We reported a case of GA and choledochogastric fistula in a patient with history of cholangitis. CASE PRESENTATION: A 70-year-old man presented to Emergency Department of Modarres Hospital with jaundice, fever, right upper quadrant abdominal pain, nausea and vomiting. Clinical examination and lab test demonstrated cholangitis. He underwent ultrasonography, abdominopelvic CT scan and ERCP. ERCP revealed a CBD fistula. Due to recurrent symptoms, he underwent operation and hepaticojejunostomy was done. CONCLUSION: In our knowledge, the case of GA and choledochogastric fistula is rare. Furthermore, this type of abnormalities rarely presented with cholangitis, so probable anatomical malformation of the biliary tract should always be considered as a differential diagnosis in patients with biliary disease signs and symptoms. Babol University of Medical Sciences 2023 /pmc/articles/PMC10646368/ /pubmed/38024174 http://dx.doi.org/10.22088/cjim.14.4.751 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Malekpour Alamdari, Nasser
Zeinalpour, Adel
Ghollizadeh, Barmak
Abbasi, Maryam
Shams, Faezeh
Ebrahimi bagha, Hamed
Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report
title Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report
title_full Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report
title_fullStr Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report
title_full_unstemmed Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report
title_short Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: A case report
title_sort gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646368/
https://www.ncbi.nlm.nih.gov/pubmed/38024174
http://dx.doi.org/10.22088/cjim.14.4.751
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