Background

Vesicular agenesis is a rare congenital malformation.

Clinical case

Male, 65 years old, preoperative diagnosis of gallbladder agenesis, presenting with cholangitis, unsatisfactory ERCP, resolution by laparotomy, drainage and biliary exploration.

Discussion

The association between cholangitis and gallbladder agenesis presents few reports in the universal literature, a preoperative diagnosis reduces surgical risk, anatomical alteration represents an increased risk of iatrogenic injury during surgical exploration.

Conclusions

Vesicular agenesis, a rare and even more infrequent entity, its association with cholangitis, its preoperative diagnosis, facilitates a surgical plan avoiding iatrogenic injuries.

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