Agenesis of the gallbladder--a case report.

M Ibrarullah, S S Sikora, V K Kapoor, S Awasthi, L K Kacker
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引用次数: 10

Abstract

Agenesis of the gallbladder, which is an extremely rare anomaly, may present with biliary symptoms but is virtually impossible to diagnose by such conventional investigations as oral cholecystogram or ultrasonography. We report herein a case of a young man presenting with episodic epigastric pain on whom an ultrasonographic diagnosis of gallstones was made. A gallbladder was not visualized on oral cholecystogram, however, he was subsequently found to have agenesis of the gallbladder, the diagnosis of which was confirmed by intra-operative cholangiography and a postoperative N-2,6-dimethylphenylcarbamoyle methyl iminodiacetic acid scan (HIDA scan). His symptoms responded to antiulcer treatment with upper gastrointestinal endoscopic findings suggestive of oesophagitis and duodenitis.

胆囊发育不全1例报告。
胆囊发育不全是一种极其罕见的异常,可能表现为胆道症状,但实际上不可能通过诸如口服胆囊造影或超声检查等常规检查来诊断。我们在此报告一个年轻人的情况下,提出阵发性胃脘痛对他的超声诊断为胆结石。口服胆囊造影未见胆囊,但随后发现胆囊发育不全,术中胆管造影和术后n -2,6-二甲基苯基氨基甲酰甲基亚氨基二乙酸扫描(HIDA扫描)证实了胆囊的诊断。他的症状对抗溃疡治疗有反应,上消化道内窥镜检查提示食管炎和十二指肠炎。
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