Gallbladder Agenesis with Refractory Choledocholithiasis
Congenital agenesis of the gallbladder is a rare anomaly which is usually asymptomatic and found incidentally. In some cases, however, patients are symptomatic. Common symptoms include right upper quadrant abdominal pain, nausea, and vomiting. Jaundice is present in some symptomatic cases and is due...
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| Format: | Article |
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Wiley
2015-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/747931 |
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| author | Jamie Tjaden Kevin Patel Aziz Aadam |
| author_facet | Jamie Tjaden Kevin Patel Aziz Aadam |
| author_sort | Jamie Tjaden |
| collection | DOAJ |
| description | Congenital agenesis of the gallbladder is a rare anomaly which is usually asymptomatic and found incidentally. In some cases, however, patients are symptomatic. Common symptoms include right upper quadrant abdominal pain, nausea, and vomiting. Jaundice is present in some symptomatic cases and is due to associated choledocholithiasis (Fiaschetti et al. 2009). In this case, a 63-year-old female presents with jaundice and episodic right upper quadrant abdominal pain with nausea and vomiting. Bilirubin and alkaline phosphatase were found to be markedly elevated. Upper endoscopic ultrasound (EUS) revealed choledocholithiasis, and the patient required multiple endoscopic retrograde cholangiopancreatography (ERCP) sessions before successful extraction of all stones. Subsequent surgical exploration revealed congenital agenesis of the gallbladder. Although this is a rare finding, patients with agenesis of the gallbladder are at increased risk of developing de novo choledocholithiasis which may be challenging to extract. |
| format | Article |
| id | doaj-art-2ddb74e61e19493698ec93227e63ef03 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-2ddb74e61e19493698ec93227e63ef032025-02-03T01:32:48ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362015-01-01201510.1155/2015/747931747931Gallbladder Agenesis with Refractory CholedocholithiasisJamie Tjaden0Kevin Patel1Aziz Aadam2Rush University Medical Center, Chicago, IL 60612, USARush University Medical Center, Chicago, IL 60612, USARush University Medical Center, Chicago, IL 60612, USACongenital agenesis of the gallbladder is a rare anomaly which is usually asymptomatic and found incidentally. In some cases, however, patients are symptomatic. Common symptoms include right upper quadrant abdominal pain, nausea, and vomiting. Jaundice is present in some symptomatic cases and is due to associated choledocholithiasis (Fiaschetti et al. 2009). In this case, a 63-year-old female presents with jaundice and episodic right upper quadrant abdominal pain with nausea and vomiting. Bilirubin and alkaline phosphatase were found to be markedly elevated. Upper endoscopic ultrasound (EUS) revealed choledocholithiasis, and the patient required multiple endoscopic retrograde cholangiopancreatography (ERCP) sessions before successful extraction of all stones. Subsequent surgical exploration revealed congenital agenesis of the gallbladder. Although this is a rare finding, patients with agenesis of the gallbladder are at increased risk of developing de novo choledocholithiasis which may be challenging to extract.http://dx.doi.org/10.1155/2015/747931 |
| spellingShingle | Jamie Tjaden Kevin Patel Aziz Aadam Gallbladder Agenesis with Refractory Choledocholithiasis Case Reports in Gastrointestinal Medicine |
| title | Gallbladder Agenesis with Refractory Choledocholithiasis |
| title_full | Gallbladder Agenesis with Refractory Choledocholithiasis |
| title_fullStr | Gallbladder Agenesis with Refractory Choledocholithiasis |
| title_full_unstemmed | Gallbladder Agenesis with Refractory Choledocholithiasis |
| title_short | Gallbladder Agenesis with Refractory Choledocholithiasis |
| title_sort | gallbladder agenesis with refractory choledocholithiasis |
| url | http://dx.doi.org/10.1155/2015/747931 |
| work_keys_str_mv | AT jamietjaden gallbladderagenesiswithrefractorycholedocholithiasis AT kevinpatel gallbladderagenesiswithrefractorycholedocholithiasis AT azizaadam gallbladderagenesiswithrefractorycholedocholithiasis |