A CASE REPORT OF CONGENITAL ABSENCE OF THE CALLBLADDER DIFINITELY DIAGOSED BY PERITONEOSCOPY

Abstract

A 21-year-old female was admitted because of abdominal pain. Abdominal ultrasonography and computed tomography of the abdomen failled to detect gallbladder. Gallbladder and cystic duct were not visualized by intravenous cholangiography and endoscopic retrograde cholangiography. Cystic artery was not observed by celiac arteriography. These findings of the graphic studies suggest a possibility of congenital absence of the gallbladder and cystic duct. In order to make a difinite diagnosis, peritoneoscopy was performed. It was confirmed that gallbladder was absent on the inferior surface of the liver, and that the falciform ligament was also lacked. Furthermore, the right lobe and the left lobe were isolated from earch other and the left lobe was lobulated into two segments. As a nonoperative procedure, peritoneoscopy was very useful for the diagnosis of this desease.