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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Babol University of Medical Sciences
2023
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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. |
format | Online Article Text |
id | pubmed-10646368 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Babol University of Medical Sciences |
record_format | MEDLINE/PubMed |
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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