Recurrent acute pancreatitis in a patient with both gallbladder and cystic duct agenesis and polycystic liver disease

Journal of Surgical Case Reports
Hasan DagmuraIsmail Okan

Abstract

Agenesis of the gallbladder and cystic duct is a rare congenital anomaly occurring in <0.1% of the population. However, combined gallbladder and cystic duct agenesis (CDA) with polycystic liver disease associated with recurrent acute pancreatitis (RAP) has not been reported earlier. Herein we report a case of a 36-year-old female patient who was admitted to the hospital and successfully treated for acute pancreatitis most probably caused in the background of gallbladder and CDA with polycystic liver disease. In case of non-visualization of gallbladder with the presence of biliary symptoms after repeated ultrasonographic examinations, advanced techniques like MRCP, computed tomography, EUS and even endoscopic retrograde cholangiopancreatography (ERCP) to visualize biliary anatomy must be conducted before any surgical intervention. We present a case of gallbladder and CDA causing RAP by the formation of microlithiasis treated successfully with ERCP and without any unnecessary surgery, its management and review of the literature is assessed.

References

May 1, 1988·The British Journal of Surgery·J P NeoptolemosD Vallance
Jun 1, 1985·Digestive Diseases and Sciences·H Sarles
Jan 17, 2003·American Journal of Human Genetics·Airong LiStefan Somlo
May 11, 2004·Nature Genetics·Sonia DavilaStefan Somlo
Mar 21, 2009·Developmental Dynamics : an Official Publication of the American Association of Anatomists·Ryo YamashitaKen-ichi Yamamura

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Methods Mentioned

BETA
RAP
imaging technique

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