Gallbladder agenesis diagnosed during surgery

Gallbladder agenesis (GBA) is an extremely rare disease that mimics biliary pathology. More frequent in women, it can occur alone or associated with other malformations. We present the case of a 53-year-old female patient with clinical symptoms compatible with cholelithiasis, with ultrasound reports...

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Detalhes bibliográficos
Autores: Vera-Portilla, Angel F., Vera-Portilla, Walter, Haito-Chavez, Yamile, Olaguivel, Darwin
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Perú
Recursos:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/30532
Acesso em linha:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/30532
Access Level:acceso abierto
Palavra-chave:Gallbladder
Gallbladder Diseases
Biliary Tract
Vesícula Biliar
Enfermedades de la Vesícula Biliar
Sistema Biliar
Descrição
Resumo:Gallbladder agenesis (GBA) is an extremely rare disease that mimics biliary pathology. More frequent in women, it can occur alone or associated with other malformations. We present the case of a 53-year-old female patient with clinical symptoms compatible with cholelithiasis, with ultrasound reports of scleroatrophic gallbladder. Elective laparoscopic cholecystectomy was performed, with no gallbladder found, and intraoperative cholangiography was performed with the same results. Postoperative magnetic resonance cholangiography confirmed gallbladder agenesis. Finally, the postoperative course was adequate, without complications. GBA commonly presents with typical symptoms of biliary colic and ultrasound diagnosis of cholelithiasis or scleroatrophic gallbladder. Preoperative diagnosis is unlikely. If surgery is performed, laparoscopic examination is preferable. Subsequently, the evolution is generally asymptomatic.