Incidentally detected gallbladder agenesis in a child: the importance of identifying anatomic structure
정재헌, 서효림, 이동언, 최재영, 이소미, 강빈, 최병호,
소속 상세정보
정재헌 ( Jung Jae-Hun )
Kyungpook National University School of Medicine Department of Pediatrics
서효림 ( Suh Hyo-Rim )
Kyungpook National University School of Medicine Department of Pediatrics
이동언 ( Lee Dong-Eun )
Kyungpook National University School of Medicine Department of Emergency Medicine
최재영 ( Choe Jae-Young )
Kyungpook National University School of Medicine Department of Emergency Medicine
이소미 ( Lee So-Mi )
Kyungpook National University School of Medicine Department of Radiology
강빈 ( Kang Ben )
Kyungpook National University School of Medicine Department of Pediatrics
최병호 ( Choe Byung-Ho )
Kyungpook National University School of Medicine Department of Pediatrics
KMID : 0385920190300040366
Abstract
The absence of a gallbladder is a very rare anomaly. While it is usually asymptomatic, it can cause biliary colic symptoms. For these reasons, gallbladder agenesis can be misdiagnosed as a hepatobiliary disease and is diagnosed correctly after surgery. This condition may also be detected through an autopsy for other causative diseases. Abdominal ultrasonography is used as a diagnostic method to detect gallbladder agenesis. Hepatobiliary scintigraphy, magnetic resonance cholangiopancreatography, and endoscopic cholangiopancreatography are also used to make a more accurate diagnosis. In the emergency room, however, gallbladder agenesis can still be misdiagnosed as acute or chronic cholecystitis, leading to the detection of gallbladder agenesis in the operating room. Although some cases of gallbladder agenesis detected in adults during surgery have been reported in Korea, there are no reports of gallbladder agenesis in pediatric patients to date. This paper reports a case of gallbladder agenesis in a symptomatic child that was detected incidentally by a radiographic examination.
키워드
Gallbladder agenesis; Magnetic resonance cholangiopancreatography; Pediatrics
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