Portale Giuseppe, Mazzeo Antonio, Cipollari Chiara, Isoardi Roberto, Spolverato Y, Zuin Matteo, Fiscon Valentino
Department of General Surgery, Azienda Euganea ULSS 6, Cittadella, Italy.
J Minim Access Surg. 2023 Jan-Mar;19(1):141-143. doi: 10.4103/jmas.jmas_345_21.
Agenesis of the gallbladder (AGB) without extrahepatic biliary atresia is a rare congenital disease. Ultrasound (US) examination can be misleading and reveal a contracted shrunken gallbladder when there is not any and the patient in most cases is taken to the OR for a standard cholecystectomy. We describe the case of a 54-year-old female with colicky right upper abdominal pain with nausea. US revealed a contracted scleroatrophic gallbladder and the patient was listed for laparoscopic cholecystectomy. At laparoscopy, despite careful search, the gallbladder was never visualised, and the suspicion of AGB was raised. An intra-operative cholangiography confirmed the hypothesis. The post-operative recovery was uneventful, and abdominal computed tomography scan failed to show the presence of gallbladder, therefore confirming the diagnosis of AGB. Lack of awareness of this condition among radiologists and surgeons is the main reason for unnecessary operations and potentially damages to the biliary tract.
无肝外胆道闭锁的胆囊缺如（AGB）是一种罕见的先天性疾病。超声（US）检查可能会产生误导，在不存在胆囊时显示胆囊收缩变小，大多数情况下患者会被送往手术室进行标准的胆囊切除术。我们描述了一名54岁女性患者的病例，她有右上腹绞痛并伴有恶心。超声显示胆囊收缩性硬化萎缩，该患者被安排进行腹腔镜胆囊切除术。在腹腔镜检查时，尽管仔细探查，但始终未发现胆囊，于是怀疑为胆囊缺如。术中胆管造影证实了这一推测。术后恢复顺利，腹部计算机断层扫描未显示胆囊存在，从而确诊为胆囊缺如。放射科医生和外科医生对这种情况认识不足是导致不必要手术以及可能损伤胆道的主要原因。
