A CASE OF CONGENITAL ABSENCE OF GALLBLADDER ACCOMPANIED WITH ACCESSORY BILE DUCT. PARAPAPILLARY DIVERTICULA AND STONE IN COMMON BILE DUCT

Abstract

A 77-year-old woman was admitted to our hospital with postprandial epigastric discomfort. A plain abdominal radiograph showed so-called pneumobilia. The ERC showed a stone in common bile duct, and accessory bile duct, of which end was opened in the parapapillary diverticulum. On surgery, an accessory bile duct communicated with right anterior lobe to parapapillary diverticulum, and gallbladder was completely absent. The final diagnosis was 1) right accessory bile duct, 2) absence of gallbladder, 3) opening of the common bile duct in the diverticulum, and 4) gallstone. A multiple anomalies of the bile duct was thought to be very rare, since no similar patient has been reported in the literature.