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Open AccessArticle10.7556/jaoa.1999.99.10.530

Preoperative ultrasound examination interpreted to represent a small contracted gallbladder with stones

Quincy Scott-1999-10-01-Journal of Osteopathic Medicine

TL;DRAbstract

Agenesis of the gallbladder is a relatively rare congenital anomaly with an incidence of only 0.01% to 0.04%. Yet it continues to occur. The patient described in this case study was symptomatic and received a clinical diagnosis of cholecystitis after having an ultrasound examination that was read as indicating a small contracted gallbladder with stones. Only after an open surgical procedure and cholangiography was it discovered tht the patient actually had a congenital absence of the gallbladder. Clinicians need to be aware of the potential for congenital absence of the gallbladder when interpreting tests and when findings are questionable, and to ensure no surprises, they should consider ordering other diagnostic tests before doing surgery.

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Agenesis of the gallbladder is a relatively rare congenital anomaly with an incidence of only 0.01% to 0.04%. Yet it continues to occur. The patient described in this case study was symptomatic and received a clinical diagnosis of cholecystitis after having an ultrasound examination that was read as indicating a small contracted gallbladder with stones. Only after an open surgical procedure and cholangiography was it discovered tht the patient actually had a congenital absence of the gallbladder. Clinicians need to be aware of the potential for congenital absence of the gallbladder when interpreting tests and when findings are questionable, and to ensure no surprises, they should consider ordering other diagnostic tests before doing surgery.

Keywords

GallbladderMedicineUltrasoundCholecystitisCholangiographyRadiologyAgenesisAcute cholecystitis

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