Gallbladder Agenesis: A Case Report of an intraoperative diagnosis
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revista.spcir.com/index.php/spcir/article/view/605 |
Resumo: | Introduction: Agenesis of the gallbladder is a rare congenital anomaly occurring in 10 to 65 per 100 000 people. Patients are usually asymptomatic and the diagnosis is made as an incidental finding during another abdominal surgery or at autopsy. The presence of biliary symptoms and a misleading ultrasound study can lead to unnecessary surgery. Case Presentation: We present a 43-year-old female proposed to laparoscopic cholecystectomy for suspected symptomatic gallbladder lithiasis in the clinical and radiological studies prior to surgery. During operation the gallbladder was not identified and the procedure was terminated for further diagnostic procedures. The post-operative study with magnetic resonance cholangiopancreatography confirmed the diagnosis of gallbladder agenesis. Conclusion: The difficulty in diagnosing the absence of gallbladder in the preoperative period can be explained by the infrequency of the condition and consequent low index of suspicion for agenesis when interpreting imaging findings. Surgeons must be aware of this condition and when gallbladder isn’t visualized at laparoscopy decide between convert surgery to open procedure or abort surgery and continue study with other imaging techniques. The latter is a good option, allowing a better characterization of biliary anatomy as well as avoiding morbidity of a laparotomy. |
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Gallbladder Agenesis: A Case Report of an intraoperative diagnosisAgenesia da Vesícula Biliar: Relato de Caso de um diagnóstico intra-operatórioIntroduction: Agenesis of the gallbladder is a rare congenital anomaly occurring in 10 to 65 per 100 000 people. Patients are usually asymptomatic and the diagnosis is made as an incidental finding during another abdominal surgery or at autopsy. The presence of biliary symptoms and a misleading ultrasound study can lead to unnecessary surgery. Case Presentation: We present a 43-year-old female proposed to laparoscopic cholecystectomy for suspected symptomatic gallbladder lithiasis in the clinical and radiological studies prior to surgery. During operation the gallbladder was not identified and the procedure was terminated for further diagnostic procedures. The post-operative study with magnetic resonance cholangiopancreatography confirmed the diagnosis of gallbladder agenesis. Conclusion: The difficulty in diagnosing the absence of gallbladder in the preoperative period can be explained by the infrequency of the condition and consequent low index of suspicion for agenesis when interpreting imaging findings. Surgeons must be aware of this condition and when gallbladder isn’t visualized at laparoscopy decide between convert surgery to open procedure or abort surgery and continue study with other imaging techniques. The latter is a good option, allowing a better characterization of biliary anatomy as well as avoiding morbidity of a laparotomy.Introdução: A agenesia da vesícula biliar é uma anomalia congénita rara que ocorre em 10-65/100 000 pessoas. Os doentes são geralmente assintomáticos e o diagnóstico é feito como um achado incidental durante outra cirurgia abdominal ou na autópsia. A existência de sintomatologia biliar e uma ecografia não esclarecedora podem ser a causa de uma cirurgia desnecessária. Caso Clínico: apresentamos o caso de mulher de 43 anos proposta para colecistectomia laparoscópica por suspeita de litíase biliar sintomática na avaliação clinica e radiológica prévia à cirurgia. No intra-operatório a vesícula biliar não foi identificada e terminou-se a cirurgia para execução de outros procedimentos diagnósticos. O estudo pós-operatório com Colangiorressonância confirmou o diagnóstico de agenesia da vesícula biliar. Conclusão: A dificuldade no diagnóstico de agenesia da vesícula biliar no período pré-operatório pode ser explicada pela raridade da situação e consequente baixo índice de suspeição ao interpretar os achados imagiológicos. Os cirurgiões devem conhecer esta entidade e quando a vesícula biliar não se visualiza na laparoscopia, decidir entre a conversão do procedimento ou terminar a cirurgia e continuar o estudo com outros meios imagiológicos. Esta parece ser uma boa opção, permitindo não só uma boa caracterização da anatomia biliar como evitar a morbilidade de uma laparotomia.Sociedade Portuguesa de Cirurgia2017-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spcir.com/index.php/spcir/article/view/605Revista Portuguesa de Cirurgia; No 43 (2017): Number 43 - December 2017; 29 - 32Revista Portuguesa de Cirurgia; No 43 (2017): Number 43 - December 2017; 29 - 322183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/605https://revista.spcir.com/index.php/spcir/article/view/605/517Carvalho, Ana Cristina SilvaSantos Costa, CarlosCorreia, PintoMagalhães, JorgeBrito, DianaMartins, Marta da CruzLongras, CatarinaSantos, TeresaCastro, VâniaOliveira, Julianainfo:eu-repo/semantics/openAccess2024-03-14T22:05:43Zoai:revista.spcir.com:article/605Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:57.752672Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis Agenesia da Vesícula Biliar: Relato de Caso de um diagnóstico intra-operatório |
title |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis |
spellingShingle |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis Carvalho, Ana Cristina Silva |
title_short |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis |
title_full |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis |
title_fullStr |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis |
title_full_unstemmed |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis |
title_sort |
Gallbladder Agenesis: A Case Report of an intraoperative diagnosis |
author |
Carvalho, Ana Cristina Silva |
author_facet |
Carvalho, Ana Cristina Silva Santos Costa, Carlos Correia, Pinto Magalhães, Jorge Brito, Diana Martins, Marta da Cruz Longras, Catarina Santos, Teresa Castro, Vânia Oliveira, Juliana |
author_role |
author |
author2 |
Santos Costa, Carlos Correia, Pinto Magalhães, Jorge Brito, Diana Martins, Marta da Cruz Longras, Catarina Santos, Teresa Castro, Vânia Oliveira, Juliana |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Carvalho, Ana Cristina Silva Santos Costa, Carlos Correia, Pinto Magalhães, Jorge Brito, Diana Martins, Marta da Cruz Longras, Catarina Santos, Teresa Castro, Vânia Oliveira, Juliana |
description |
Introduction: Agenesis of the gallbladder is a rare congenital anomaly occurring in 10 to 65 per 100 000 people. Patients are usually asymptomatic and the diagnosis is made as an incidental finding during another abdominal surgery or at autopsy. The presence of biliary symptoms and a misleading ultrasound study can lead to unnecessary surgery. Case Presentation: We present a 43-year-old female proposed to laparoscopic cholecystectomy for suspected symptomatic gallbladder lithiasis in the clinical and radiological studies prior to surgery. During operation the gallbladder was not identified and the procedure was terminated for further diagnostic procedures. The post-operative study with magnetic resonance cholangiopancreatography confirmed the diagnosis of gallbladder agenesis. Conclusion: The difficulty in diagnosing the absence of gallbladder in the preoperative period can be explained by the infrequency of the condition and consequent low index of suspicion for agenesis when interpreting imaging findings. Surgeons must be aware of this condition and when gallbladder isn’t visualized at laparoscopy decide between convert surgery to open procedure or abort surgery and continue study with other imaging techniques. The latter is a good option, allowing a better characterization of biliary anatomy as well as avoiding morbidity of a laparotomy. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/605 |
url |
https://revista.spcir.com/index.php/spcir/article/view/605 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/605 https://revista.spcir.com/index.php/spcir/article/view/605/517 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 43 (2017): Number 43 - December 2017; 29 - 32 Revista Portuguesa de Cirurgia; No 43 (2017): Number 43 - December 2017; 29 - 32 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138183960592384 |