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Congenital Absence of the Gallbladder

Congenital Absence of the Gallbladder Abstract Variations and anomalies of the biliary system and related blood vessels are relatively common, occurring in 10% of necropsy specimens.1 However, absence of the gallbladder without associated defects of the biliary tract is an exceedingly rare finding, the incidence being reported as 0.065% by Tallmadge,2 who found 12 cases in a collected series of 18,350 necropsies, and as 0.04% by Mouzas and Wilson,3 who reported 9 cases in 21,631 necropsies. We wish to report a case, confirmed by operative cholangiographic examination, and to review briefly the pertinent literature and practical aspects of this condition. In 1928, Bower4 reviewed 31 cases of congenital absence of the gallbladder and cystic duct. In 1936, Gross5 reported 38 cases, and Finney and Owen6 added 10 cases in 1942. A review of this subject by Dixon and Lichtman7 in 1945 included 50 cases reported since 1900 and 10 References 1. Gordon, W. C., and Dragutsky, D.: Congenital Absence of the Gall Bladder and Cystic Duct: Report of Case , J. Lab. & Clin. Med. 27:594-597 ( (Feb.) ) 1942. 2. Tallmadge, G. K.: Congenital Absence of the Gallbladder , Arch. Path. 26:1060-1062 ( (Nov.) ) 1938. 3. Mouzas, G., and Wilson, A. K.: Congenital Absence of the Gall-Bladder, with Stone in the Common Bile-Duct , Lancet 1:628-629 ( (March 28) ) 1953. 4. Bower, J. O.: Congenital Absence of the Gall-Bladder , Ann. Surg. 88:80-90 ( (July) ) 1928. 5. Gross, R. E.: Congenital Anomalies of the Gallbladder: A Review of 148 Cases, with Report of a Double Gallbladder , Arch. Surg. 32:131-162 ( (Jan.) ) 1936. 6. Finney, G. G., and Owen, J. K.: The Surgical Aspect of Congenital Absence of the Gallbladder: Report of 2 Cases , Ann. Surg. 115:736-744 ( (May) ) 1942. 7. Dixon, C. F., and Lichtman, A. L.: Congenital Absence of the Gall Bladder , Surgery 17:11-21 ( (Jan.) ) 1945. 8. Latimer, E. O.; Mendez, F. L., Jr., and Hage, W. J.: Congenital Absence of Gallbladder: Report of 3 Cases , Ann. Surg. 126:229-242 ( (Aug.) ) 1947. 9. Iovetz-Tereshchenko, N. N.: Congenital Absence of the Gallbladder in Man: Report of a New Case , J. Internat. Coll. Surgeons 26:279-282 ( (Sept.) ) 1956. 10. Jutras, R., and Rice, E. C.: Congenital Absence of the Gall-Bladder , Clin. Proc. Child. Hosp. , Wash. 12:181-185 ( (Aug.) ) 1956. 11. Monroe, S. E., and Ragen, F. J.: Congenital Absence of the Gallbladder , California Med. 85:422-423 ( (Dec.) ) 1956. 12. Smyth, M. J.: Congenital Absence of the Gall-Bladder , Lancet 1:301-303 ( (Feb. 19) ) 1949. 13. Nelson, W.; Hatch, F. F., and Jackson, H. M.: Congenital Absence of the Gall Bladder , Surgery 25:916-923 ( (June) ) 1949. 14. Rheinlander, H. F., and Bowens, O. L., Jr.: Congenital Absence of the Gall Bladder with Cystic Dilatation of the Common Bile Duct , New England J. Med. 256:557-559 ( (March 21) ) 1957. 15. Rodda, T. S., and McBurney, R. P.: Congenital Absence of the Gall Bladder: Report of a Case , Surgery 41:870-873 ( (May) ) 1957. 16. Mann, A. S.: Charcot's Intermittent Fever with Choledocholithiasis and Congenital Absence of Gallbladder , Ochsner Clin. Rep. 3:30-32 ( (Jan.) ) 1957. 17. Villareal, L.: Congenital Absence of the Gallbladder, with Case Report , Ann. Surg. 127:745-749 ( (April) ) 1948. 18. Kobacker, J. L.: Congenital Absence of the Gallbladder—a Possible Hereditary Defect , Ann. Int. Med. 33:1008-1012 ( (Oct.) ) 1950. 19. Flannery, M. G., and Caster, M. P.: Congenital Abnormalities of the Gallbladder; 101 Cases , Internat. Abstr. Surg. 103:439-457 ( (Nov.) ) 1956 20. Surg. Gynec. & Obst. , (Nov.) , 1956. 21. Goldenberg, M. M.: Congenital Absence of the Gall Bladder , Illinois M. J. 105:123-124 ( (March) ) 1954. 22. Echegaray, E. M.; Minicone, H. A., and Barroetavena, J.: Ausencia congénita de vesicula biliar , Rev. asoc. méd. argent. 68:354-358 ( (July 15-30) ) 1954. 23. Nevill, G. E.: Congenital Absence of the Gall-Bladder , East African M. J. 31:23-28 ( (Jan.) ) 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Congenital Absence of the Gallbladder

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320030084015
Publisher site
See Article on Publisher Site

Abstract

Abstract Variations and anomalies of the biliary system and related blood vessels are relatively common, occurring in 10% of necropsy specimens.1 However, absence of the gallbladder without associated defects of the biliary tract is an exceedingly rare finding, the incidence being reported as 0.065% by Tallmadge,2 who found 12 cases in a collected series of 18,350 necropsies, and as 0.04% by Mouzas and Wilson,3 who reported 9 cases in 21,631 necropsies. We wish to report a case, confirmed by operative cholangiographic examination, and to review briefly the pertinent literature and practical aspects of this condition. In 1928, Bower4 reviewed 31 cases of congenital absence of the gallbladder and cystic duct. In 1936, Gross5 reported 38 cases, and Finney and Owen6 added 10 cases in 1942. A review of this subject by Dixon and Lichtman7 in 1945 included 50 cases reported since 1900 and 10 References 1. Gordon, W. C., and Dragutsky, D.: Congenital Absence of the Gall Bladder and Cystic Duct: Report of Case , J. Lab. & Clin. Med. 27:594-597 ( (Feb.) ) 1942. 2. Tallmadge, G. K.: Congenital Absence of the Gallbladder , Arch. Path. 26:1060-1062 ( (Nov.) ) 1938. 3. Mouzas, G., and Wilson, A. K.: Congenital Absence of the Gall-Bladder, with Stone in the Common Bile-Duct , Lancet 1:628-629 ( (March 28) ) 1953. 4. Bower, J. O.: Congenital Absence of the Gall-Bladder , Ann. Surg. 88:80-90 ( (July) ) 1928. 5. Gross, R. E.: Congenital Anomalies of the Gallbladder: A Review of 148 Cases, with Report of a Double Gallbladder , Arch. Surg. 32:131-162 ( (Jan.) ) 1936. 6. Finney, G. G., and Owen, J. K.: The Surgical Aspect of Congenital Absence of the Gallbladder: Report of 2 Cases , Ann. Surg. 115:736-744 ( (May) ) 1942. 7. Dixon, C. F., and Lichtman, A. L.: Congenital Absence of the Gall Bladder , Surgery 17:11-21 ( (Jan.) ) 1945. 8. Latimer, E. O.; Mendez, F. L., Jr., and Hage, W. J.: Congenital Absence of Gallbladder: Report of 3 Cases , Ann. Surg. 126:229-242 ( (Aug.) ) 1947. 9. Iovetz-Tereshchenko, N. N.: Congenital Absence of the Gallbladder in Man: Report of a New Case , J. Internat. Coll. Surgeons 26:279-282 ( (Sept.) ) 1956. 10. Jutras, R., and Rice, E. C.: Congenital Absence of the Gall-Bladder , Clin. Proc. Child. Hosp. , Wash. 12:181-185 ( (Aug.) ) 1956. 11. Monroe, S. E., and Ragen, F. J.: Congenital Absence of the Gallbladder , California Med. 85:422-423 ( (Dec.) ) 1956. 12. Smyth, M. J.: Congenital Absence of the Gall-Bladder , Lancet 1:301-303 ( (Feb. 19) ) 1949. 13. Nelson, W.; Hatch, F. F., and Jackson, H. M.: Congenital Absence of the Gall Bladder , Surgery 25:916-923 ( (June) ) 1949. 14. Rheinlander, H. F., and Bowens, O. L., Jr.: Congenital Absence of the Gall Bladder with Cystic Dilatation of the Common Bile Duct , New England J. Med. 256:557-559 ( (March 21) ) 1957. 15. Rodda, T. S., and McBurney, R. P.: Congenital Absence of the Gall Bladder: Report of a Case , Surgery 41:870-873 ( (May) ) 1957. 16. Mann, A. S.: Charcot's Intermittent Fever with Choledocholithiasis and Congenital Absence of Gallbladder , Ochsner Clin. Rep. 3:30-32 ( (Jan.) ) 1957. 17. Villareal, L.: Congenital Absence of the Gallbladder, with Case Report , Ann. Surg. 127:745-749 ( (April) ) 1948. 18. Kobacker, J. L.: Congenital Absence of the Gallbladder—a Possible Hereditary Defect , Ann. Int. Med. 33:1008-1012 ( (Oct.) ) 1950. 19. Flannery, M. G., and Caster, M. P.: Congenital Abnormalities of the Gallbladder; 101 Cases , Internat. Abstr. Surg. 103:439-457 ( (Nov.) ) 1956 20. Surg. Gynec. & Obst. , (Nov.) , 1956. 21. Goldenberg, M. M.: Congenital Absence of the Gall Bladder , Illinois M. J. 105:123-124 ( (March) ) 1954. 22. Echegaray, E. M.; Minicone, H. A., and Barroetavena, J.: Ausencia congénita de vesicula biliar , Rev. asoc. méd. argent. 68:354-358 ( (July 15-30) ) 1954. 23. Nevill, G. E.: Congenital Absence of the Gall-Bladder , East African M. J. 31:23-28 ( (Jan.) ) 1954.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1959

References