Thant Phyu C, Gupta Anurag
Department of Surgery, Modbury Hospital, Modbury, SA, Australia.
J Surg Case Rep. 2023 Apr 25;2023(4):rjad214. doi: 10.1093/jscr/rjad214. eCollection 2023 Apr.
Gallbladder agenesis is a very rare condition, majority of which are normally diagnosed intraoperatively because of low index of suspicion and high rate of false positive results for cholecystitis on ultrasound imaging. We present a case of a 25-year-old man who presented with a right upper quadrant pain, whose ultrasound suggests a contracted gallbladder with gallstones. He was treated as an acute on chronic cholecystitis and booked for laparoscopic cholecystectomy. Intraoperatively, there was no gallbladder to be seen and decision was made to abandon procedure and avoid further exploration. Post-operative magnetic resonance cholangiopancreatography confirmed the congenital agenesis of gallbladder. It is important to have awareness of this condition, and possible further imaging modalities should be used if the ultrasound suggests a shrunken or contracted gallbladder that is not easily visible to avoid the risk of undergoing an unwarranted surgery.
胆囊缺如是一种非常罕见的病症，由于对其怀疑指数较低且超声成像时胆囊炎的假阳性率较高，大多数病例通常在术中才得以诊断。我们报告一例25岁男性患者，其因右上腹疼痛就诊，超声检查提示胆囊萎缩并伴有胆结石。他被当作慢性胆囊炎急性发作进行治疗，并安排了腹腔镜胆囊切除术。术中未发现胆囊，于是决定放弃手术并避免进一步探查。术后磁共振胰胆管造影证实了胆囊先天性缺如。认识到这种病症很重要，如果超声提示胆囊萎缩或变小且不易看清，应考虑使用可能的进一步成像方式，以避免进行不必要手术的风险。
