Caspian Journal of Internal Medicine
Babol University of Medical Sciences
Tue, Mar 18, 2025
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Volume 14, Issue 4 (Autumn 2023)
Caspian J Intern Med 2023, 14(4): 751-754 |
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Malekpour Alamdari N, Zeinalpour A, Gholizadeh B, Abbasi M, Shams F, Ebrahimibagha H. Gallbladder agenesis and choledochogastric fistula in patient with history of cholangitis: a case report. Caspian J Intern Med 2023; 14 (4) :751-754
URL: http://caspjim.com/article-1-3119-en.html
URL: http://caspjim.com/article-1-3119-en.html
Nasser Malekpour Alamdari 
, Adel Zeinalpour * , Barmak Gholizadeh , Maryam Abbasi , Faezeh Shams , Hamed Ebrahimibagha
, Adel Zeinalpour * , Barmak Gholizadeh , Maryam Abbasi , Faezeh Shams , Hamed Ebrahimibagha
Department of General Surgery, Shahid Modarres Hospital, Shahid Beheshti University of medical sciences, Tehran, Iran , adel.zeinalpour@gmail.com
Abstract: (1317 Views)
Background: Gallbladder agenesis is a biliary tract related congenital malformation with an incidence of 10–65 per 100,000 and associated with other congenital abnormalities. GA is usually asymptomatic, but sometimes patients become symptomatic. The most usual symptoms are jaundice, abdominal pain in the right upper quadrant, nausea and vomiting. We reported a case of GA and choledochogastric fistula in a patient with history of cholangitis.
Case Presentation: A 70-year-old man presented to Emergency Department of Modarres Hospital with jaundice, fever, right upper quadrant abdominal pain, nausea and vomiting. Clinical examination and lab test demonstrated cholangitis. He underwent ultrasonography, abdominopelvic CT scan and ERCP. ERCP revealed a CBD fistula. Due to recurrent symptoms, he underwent operation and hepaticojejunostomy was done.
Conclusion: In our knowledge, the case of GA and choledochogastric fistula is rare. Furthermore, this type of abnormalities rarely presented with cholangitis, so probable anatomical malformation of the biliary tract should always be considered as a differential diagnosis in patients with biliary disease signs and symptoms
Case Presentation: A 70-year-old man presented to Emergency Department of Modarres Hospital with jaundice, fever, right upper quadrant abdominal pain, nausea and vomiting. Clinical examination and lab test demonstrated cholangitis. He underwent ultrasonography, abdominopelvic CT scan and ERCP. ERCP revealed a CBD fistula. Due to recurrent symptoms, he underwent operation and hepaticojejunostomy was done.
Conclusion: In our knowledge, the case of GA and choledochogastric fistula is rare. Furthermore, this type of abnormalities rarely presented with cholangitis, so probable anatomical malformation of the biliary tract should always be considered as a differential diagnosis in patients with biliary disease signs and symptoms
Type of Study: case report |
Subject:
Surgery
Received: 2021/09/21 | Accepted: 2022/08/24 | Published: 2023/09/24
Received: 2021/09/21 | Accepted: 2022/08/24 | Published: 2023/09/24
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