Importance of accurate diagnosis of congenital agenesis of the gallbladder from atypical gallbladder stone presentations:A case report  

作　　者：Hai-Jian Sun Fei Ge Yue Si Zheng Wang Hai-Bo Sun 

机构地区：[1]Department of General Surgery,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,Jiangsu Province,China [2]Department of Gastroenterology,Haian Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nantong 226600,Jiangsu Province,China [3]Institute of Translational Medicine,Medical College,Yangzhou University,Yangzhou 225000,Jiangsu Province,China [4]Jiangsu Key Laboratory of Experimental&Translational Non-Coding RNA Research Yangzhou,Yangzhou University,Yangzhou 225000,Jiangsu Province,China [5]Department of Endocrinology,The Affiliated Hospital of Yangzhou University,Yangzhou 225000,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2023年第28期6864-6870,共7页世界临床病例杂志

摘　　要：BACKGROUND Congenital agenesis of the gallbladder(CAGB)is a rare condition often misdiagnosed as cholecystolithiasis,leading to unnecessary surgeries.Accurate diagnosis and surgical exploration are crucial in patients with suspected CAGB or atypical gallbladder stone symptoms.Preoperative imaging,such as magnetic resonance cholangiopancreatography(MRCP),plays a vital role in confirming the diagnosis.Careful intraoperative dissection is necessary to avoid iatrogenic injuries and misdiagnosis.Multidisciplinary consultations and collaboration,along with the use of various diagnostic methods,can minimize associated risks.CASE SUMMARY We present the case of a 34-year-old female with suspected gallbladder stones,ultimately diagnosed with CAGB through surgical exploration.The patient underwent laparoscopic examination followed by open exploratory surgery,which confirmed absence of the gallbladder.Subsequent imaging studies supported the diagnosis.The patient received appropriate postoperative care and experienced a successful recovery.CONCLUSION This case highlights the rarity of CAGB and the importance of considering this condition in the differential diagnosis of patients with gallbladder stone symptoms.Accurate diagnosis using preoperative imaging,such as MRCP,is crucial to prevent unnecessary surgeries.Surgeons should exercise caution and conduct meticulous dissection during surgery to avoid iatrogenic injuries and ensure accurate diagnosis.Multidisciplinary collaboration and utilization of various diagnostic methods are essential to minimize the risk of misdiagnosis.Selection of the optimal treatment strategy should prioritize minimizing trauma and maintaining open communication with the patient and their family members.

关 键 词：Congenital agenesis of the gallbladder Absent gallbladder Biliary tract anomalies Case report 

分 类 号：R735.8[医药卫生—肿瘤]