1990 Volume 51 Issue 7 Pages 1553-1556
A case of absence of gallbladder assoiated with choledocholithiasis and Meckel's divertuculum was reported. The case was a 69 year old male complaining of right hypochondric pain. After clinical evaluation, the patient was diagnosed as choledocholithiasis, but the gallbladder was not detected.
Operation was performed, where the dilated common bile duct and 2 stones admitted in the duct were found but the gallbadder was absent. Furthermore Mekel's diverticulum was found at 75cm oral side from the end of ileum. Choledocholithectomy, T-tube drainage and resection of Meckel's diverticulum were performed.
Congenital absence of the gallbladders is one of the rare biliary anomalies. In adults, 77 cases were reported in Japan. Chief complaints included abdominal pain, fever, and icterus. These cases associated with dilated common bile duct in 48.1% or choledocholithiasis in 31.2%. Operation is commonly indicated for cases having choledocholithiasis, however, under a fact that the aging may be often accompanied by stones, careful follow-up is necessary lithiasis, however, under a fact that the aging may be often accompanied by stones, careful follow-up is necessary especially for cases of suspicious absence of gallbladder.
