Ageneses of the galdbladder: revision of the literature and a case reported

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Jonathan Guillermo Flores-Valencia
Shery Noemí Vital-Miranda
Sandra Patricia Mondragón-Romano
Laura Hermila De la Garza-Salinas

Keywords

Gallbladder, Colecystolithiasis

Abstract

Background: ageneses of the gallblander (AGB) is an infrequent congenital malformation. It was described by Lemery in 1701, for the first time. Until today, it has been described 400 cases worldwide. The objective was to present a case of AGB and review the literature. 

Clinical case: female of 61 years who was attended for relating colic pain, intensive and persistent in right upper abdomen during two days, accompanied of heartburn and nausea; relaxed abdomen with light pain to deep palpation in right abdomen, without peritoneal irritability. The lab showed Hb 12,8 g/dL, Hct. 40,04 %, WBC 5090/µL, PlT 266000 µL, direct bilirubin 0.3 mg/dL, bilirubin indirect 0.5 mg/dL, PT 7.4 g/dL, ALB 4 g/dL, glucose 107 md/dL, urea 36 md/dL. USG showed confuse intraliverworts and extraliverworts without evidence of dilation, gallbladder partially, identified wealthy litos in its hinterland and/or calcification of its wall.

Conclusions: the case presented symptoms specific of gallbladd-er disease without blockage of hepatic via as it is described in the literature, the study USG was not specific. The cholangiography and CT revealed absence of gallbladder and corroborated diagnosis of ageneses vesicular.

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References

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