De Anna D, Rigobello P, Pozza E, Canella A
Chir Ital. 1978 Aug;30(4):341-7.
The authors describe one case of agenesis of the gallbladder associated with papillary stenosis, dyskinesia of the extrahepatic bile ducts, and chronic appendicitis. They devote particular attention to the composition of hepatic bile and choledochal bile, which was investigated in detail after surgical exploration of the extrahepatic bile passages, transduodenal papillosphincterotomy, and appendectomy. They conclude that this rare congenital failure of organ development, in the long run, even a slight alteration of bile composition in the hepatic and/or choledochal segment of the biliary tract (the latter somewhat serving the purpose of the missing gallbladder) may invite calculosis of the common bile duct.
作者描述了1例胆囊缺如合并乳头狭窄、肝外胆管运动障碍和慢性阑尾炎的病例。他们特别关注肝胆汁和胆总管胆汁的成分，这些成分在肝外胆管手术探查、经十二指肠乳头括约肌切开术和阑尾切除术后进行了详细研究。他们得出结论，这种罕见的先天性器官发育不全，从长远来看，即使胆道肝段和/或胆总管段胆汁成分稍有改变（后者在一定程度上起到了缺失胆囊的作用），也可能引发胆总管结石形成。
