Sousa Escandón A, Rodríguez García J, Sánchez Ibáñez J, Gayoso García R, Ghanimé Saide G, Rodríguez Pérez H
Rev Esp Enferm Apar Dig. 1989 Feb;75(2):135-42.
Agenesis of the gallbladder and of the cystic duct is a rare anomaly of the biliary tree that courses symptomatically in one of three cases. This symptomatology can be explained in some of them only by a dyskinetic alteration of the Oddi sphincter, which would lead to long term choledochal distension with the corresponding biliary stasis and facilitate infection of the pooled bile juice, aside from possible alterations in bile composition and the choledochal mucosa. If this were the case, it could explain the mechanism of production of postcholecystectomy syndrome and residual choledochal lithiasis many years after cholecystectomy with normal peroperative cholangiography. A statistical study is made of the Spanish literature.
胆囊及胆囊管缺如是一种罕见的胆道系统异常，三分之一的病例会出现症状。其中一些病例的症状仅能通过Oddi括约肌运动功能障碍来解释，这会导致胆总管长期扩张及相应的胆汁淤积，并使淤积胆汁易于感染，此外还可能伴有胆汁成分及胆总管黏膜的改变。如果是这种情况，就可以解释胆囊切除术后综合征及胆囊切除术后多年出现的残留胆总管结石的发生机制，尽管术中胆管造影正常。本文对西班牙文献进行了统计学研究。
