Gallbladder agenesis mimicking cholelithiasis in an adult
Andrew M. Moon, MD, MPH, J. Hamilton Howe, MD, Katrina A. McGinty, MD and 1 more
Radiology Case Reports · 2018
doi:10.1016/j.radcr.2018.03.002 (opens in a new tab)
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Abstract
We present the case of a 24-year-old woman with morbid obesity who came to the emergency department with right upper quadrant abdominal pain associated with nausea and vomiting. Her workup included a right upper quadrant ultrasound suggestive of a small gallbladder with cholelithiasis without sonographic evidence of acute cholecystitis. She underwent attempted laparoscopic cholecystectomy with no identifiable gallbladder during surgery. Postsurgical cross-sectional imaging confirmed gallbladder agenesis. This case provides an example of a rare but convincing clinical and radiologic mimic of cholelithiasis. In certain cases of biliary colic and imaging revealing a small gallbladder, a magnetic resonance cholangiopancreatography may be warranted to evaluate gallbladder agenesis and avoid unnecessary surgery. Keywords: Ultrasound, Magnetic resonance cholangiopancreatography, Gallbladder agenesis, Cholelithiasis
Abstract licence: CC BY-NC-ND
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