Abstract

GONZALEZ DE LA MORA, Juan José et al. Choledocholithiasis as the first manifestation of vesicular agenesis. Acta méd. Grupo Ángeles [online]. 2020, vol.18, n.2, pp.191-193.  Epub Mar 28, 2022. ISSN 1870-7203.  https://doi.org/10.35366/93895.

Congenital absence of gallbladder is unusual, with an incidence of 0.02%. Gallbladder agenesis detection is mostly incidental, and when symptomatic, it is associated to choledocholithiasis in 50% of the cases. A 68-year-old male, with a history of 8 months of intermittent jaundice and abdominal pain, reports fever for a week. Generalized jaundice, abdominal pain at right upper quadrant without Murphy’s sign, and elevated serum direct bilirubin were evident. The ultrasound and the MRC showed bile duct dilatation, with a gallstone at de common bile duct, but no gallbladder. After unsuccessful ERCP, surgery with choledochotomy was decided to extract one 1.2 cm stone, and a T-tube cholangiogram showed the absence of cystic duct and gallbladder. Gallbladder agenesis, when associated with choledocholithiasis, can be a diagnostic and therapeutic challenge.

Keywords : Vesicular agenesis; choledocholithiasis; jaundice.