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11 December 2017 : Case report  Greece

Gallbladder Hypoplasia, a Congenital Abnormality of the Gallbladder: A Case Report

Challenging differential diagnosis, Congenital defects / diseases

Christophoros S. Kosmidis1ABCDEFG, Georgios D. Koimtzis1AEG*, Maria S. Kosmidou2DFG, Fotini Ieridou1ABCDEFG, Triantafyllia Koletsa3BCDG, Katerina T. Zarampouka3BCDG, Eleni Georgakoudi1BCF, Isaac Kesisoglou1AG

DOI: 10.12659/AJCR.905963

Am J Case Rep 2017; 18:1320-1324

Abstract

BACKGROUND: There are different variations in the anatomy of the gallbladder. Congenital abnormalities of the gallbladder such as agenesis and hypoplasia are rare conditions and difficult to diagnose with imaging studies. Patients are usually asymptomatic or have symptoms that mimic gallstone disease. The diagnosis is often made intraoperatively and is established by histopathological examination.

CASE REPORT: We report a case of a 62-year-old male who had cholelithiasis symptoms and was falsely diagnosed with gallstone disease by abdominal ultrasound scan. The patient underwent an operation which revealed a rudimentary gallbladder. The histology result showed hypoplastic gallbladder tissue.

CONCLUSIONS: This case suggests that surgeons need to take into consideration congenital anomalies of the gallbladder intraoperatively in order to avoid any iatrogenic injury to biliary tract during a routine laparoscopic cholecystectomy. Intraoperative cholangiography can be a useful tool to avoid unnecessary surgical risky interventions.

Keywords: Cholecystectomy, Laparoscopic, Congenital Abnormalities, Gallbladder

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923