Agenesis of the gallbladder with primary choledochal stones.
OBJECTIVE
To report a case of true agenesis of the gallbladder (GB) with obstructive jaundice due to primary choledochal stone.


METHODS
A 66-year-old woman presented with a full picture of obstructive jaundice, both clinically and biochemically. Ultrasound and endoscopic retrograde cholangiopancreatography failed to show the GB but showed dilatation of extrahepatic ducts with a stone in the common bile duct (CBD). Upon exploration, the GB was found to be absent and through a choledochotomy, the stone in the CBD was removed.


CONCLUSIONS
This case shows that proper exploratory laparotomy and intraoperative cholangiography may be required to confirm absence of the GB.
Afifi
El-Sayed M
el-SM
Department of Surgery, Al-Sabah Hospital, Kuwait. graa7_no1@hotmail.com
Atef
Husseiny
H
Wael
Baidas
B
D000368:Aged; D042883:Choledocholithiasis / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D005704:Gallbladder / Q000002:abnormalities*; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology*