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Gallbladder Pathology Online

Pathology of Absence (Agenesis) of the Gallbladder

Dr Sampurna Roy  MD

 

Occasionally the gallbladder is absent.

Stones have been found in common bile duct in nearly 50% of cases.

In 40-70% of cases this anomaly is associated with other gastrointestinal, skeletal, cardiovascular and genitourinary malformations.

Agenesis is thought to result from the failure of development of the ventrocaudal sacculation of the hepatic diverticulum. A vestigial or hypoplastic structure may be present.

The cystic duct is usually also absent and the gallbladder fossa on the undersuface of the liver is poorly developed.

Despite modern diagnostic methods this agenesis which is often combined with a variety of malformations is first realized during operation or postmortem.

Combinations of atypical clinical signs and sonographical or radiological absence of the gallbladder should point at agenesia of the gallbladder and to look for further malformations.

 

Further reading:

Agenesis of the gallbladder: lessons to learn. JSLS. 2006 Oct-Dec;10(4):517-9.

Congenital absence of gallbladder.J Coll Physicians Surg Pak. 2005 May;15(5):304-5.

Isolated agenesis of the gallbladder: case report. G Chir. 2004 Aug-Sep;25(8-9):294-6.

Malformations associated with congenital absence of the gall bladder. J Med Genet. 1983 Dec;20(6): 445-9.

Congenital absence of the gall bladder.Surg Radiol Anat. 1999;21(3):221-4.

Isolated agenesis of the gallbladder. An intraoperative problem.Minerva Chir. 1997 Sep;52(9):1119-21.

Congenital absence of the gallbladder: another cause of false-positive hepatobiliary image.J Nucl Med. 1984 Jan;25(1):70-2.

Agenesis of the gallbladder -- case report and a short review of the literature.Acta Chir Iugosl. 1979;26(1):79-83.

 

 

 

 

Dr  Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)

 

 

 

          

 

 

 

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