TAILIEUCHUNG - Gallbladder agenesis with hepatic impairment: A case report

Gallbladder agenesis is a rare congenital malformation. More than 50% of cases are isolated and asymptomatic. These asymptomatic patients are principally healthy and need no interventions. However, some patients develop symptoms, presenting with clinical signs and complaints similar to those of biliary tract disease. Symptoms commonly occur in the fourth or fifth decade of life of the patient. | Takano et al. BMC Pediatrics 2018 18 360 https s12887-018-1343-0 CASE REPORT Open Access Gallbladder agenesis with hepatic impairment a case report Yoshihiko Takano Mirei Hoshino Sakae Iriyama Kyoko Takayanagi Manabu Ishiro Nobuhiro Kawakami and Takayuki Okamura Abstract Background Gallbladder agenesis is a rare congenital malformation. More than 50 of cases are isolated and asymptomatic. These asymptomatic patients are principally healthy and need no interventions. However some patients develop symptoms presenting with clinical signs and complaints similar to those of biliary tract disease. Symptoms commonly occur in the fourth or fifth decade of life of the patient. At the present time gallbladder agenesis is diagnosed using a combination of imaging modalities without surgical intervention to avert serious complications following surgery. Case presentation We describe a 13-year-old Japanese girl with a history of recurrent hepatic impairment which had not been thoroughly investigated. She was referred to our hospital following 2 days of fever fatigue and abnormal blood tests suggested impaired liver function. Data from chest X-ray findings combined with a positive loop-mediated isothermal amplification assay result indicated Mycoplasma pneumoniae pneumonia which was treated with oral azithromycin. To investigate potential hepatic impairment we performed several imaging studies namely abdominal ultrasonography magnetic resonance cholangiopancreatography and contrast enhanced computed tomography. These imaging studies revealed a normal liver however the gallbladder was not in the usual nor any aberrant position in imaging investigations of the patient. Based on these results we diagnosed gallbladder agenesis however the etiology of her hepatic impairment has not been elucidated. Conclusion We present a case of gallbladder agenesis with hepatic impairment where the diagnosis was made without surgical intervention. Clinicians should perform a detailed

• Y khoa - Dược
• BMC Pediatrics
• Gallbladder agenesis
• Hepatic impairment
• Imaging modalities
• Mycoplasma pneumoniae
• Acute otitis media
• Primary care pediatrics
• Pneumatic otoscope
• Educational programmes concerning
• National Institutes of Health
• Pediatric integrative medicine
• Healthcare professionals
• Alternative medicine
• Lumbar puncture
• Early onset neonatal sepsis
• American Academy of Pediatrics
• Group B Streptococcus
• 9 Kids’ Inpatient Database
• Public health
• Tasmanian Law Reform Institute
• Non therapeutic circumcision
• Long QT syndrome
• Standing test
• Pediatric emergency department
• Ventricular arrhythmias
• Acute respiratory infection
• Under five years
• Death especially
• Binary logistic regression analysis
• Pediatrics mortality
• Emergency department
• Tikur Anbessa Specialized Tertiary Hosptal
• Neonatal intensive care unit
• RV infection
• Pediatrics guidelines criteria
• Gynecology hospitals
• Demographic data collection
• Electronic health record
• Health care organizations
• Screen viewing
• Psychological wellbeing
• Moderate to vigorous intensity physical activity
• Child abuse pediatrics
• Social risk indicators
• Non social cues
• CAP risk perception
• Not included in the title
• Quality of health care
• Patient satisfaction
• Emergency medical services
• Isolated unilateral temporalis muscle hypertrophy
• IUTMH in pediatrics
• Masticatory muscle hypertrophies
• Visual disturbances
• Pediatrics antiretroviral market
• Pediatric antiretroviral prices
• Global Price Reporting Mechanism
• Price trends
• Pediatric antiretroviral procurement
• Hospitalized children
• Antimicrobial stewardship
• Prescribing antimicrobials
• Discontinuing empiric antimicrobials
• Pediatric tumors
• Infantile orbital tumors
• Isolated enophthalmos
• Orbital tumors
• Care seeking behavior
• Traditional medicine
• National Hospital of Pediatrics
• Neonatal jaundice
• Transcutaneous bilirubin
• Neonatal hyperbilirubinemia
• Especially kernicterus
• Parental decisions regarding immunization
• Knowledge practices
• Immunization rate
• Knowledge practice
• Factors underlying inadequate
• Unvaccinated children
• Epileptic attack
• School absenteeism
• Childhood epilepsy
• Epilepsy in Ethiopia
• Social media
• Infant care
• Anticipatory guidance
• Preschool teachers
• Knowledge retention
• Pediatric first aid
• Ulcerative colitis
• Inflammatory bowel diseases
• Childhood onset Crohn’s disease
• Histopathological examination
• Intestinal spirochetosis
• Brachyspira aalborgi
• Brachyspira pilosicoli
• Inflammatory bowel disease