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KMID : 0371319920430060910
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Journal of the Korean Surgical Society
1992 Volume.43 No. 6 p.910 ~ p.915
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Congenital Absence of Gallbladder
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Abstract
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Congenital absence or agenesis of the gallbladder is one of the rare anomalies that poses a problem on the operating table when the operation is for clinical diagnosis of chromic cholecystitis.
The preoperative diagnosis of GB agenesis is impossible because of no characteristic clinical or radiologic findings. Diagnosis can be only be confirmed by surgical exploration or necropsy.
The development of agenesis of gallbladder result from either failure of the further development of hepatic diverticulum as a bud, or failure to recanalize the formed bud in the 6th or 7th fetal life.
It combines usually other biliary anomalies, stones and other systemic fatal congenital anomalies.
GB agenesis has symptoms of cholecystitis or choledocholithiasis.
Pathophysiology was not clear. But most cases are relieved symptom by prompt operative treatment.
Prognosis will be relatively good, if its other congenital anomalies are not combined.
Two cases of GB agenesis were encountered in two different adult at Yong-San hospital, Chung-Ang university and this prompted us to report both cases in this article with brief review of literlatures.
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