Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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RARE COMBINATION OF GALLBLADDER HYPOPLASIA AND DUODENAL DIVERTICULUM - CASE REPORT
V.T. Grigorean (1), M.A. Iacobini (2), M. Popescu (3), C.M. Neacşu (2), A.R. Stoian (1),
Violeta Elena Radu (4), Corina Roxana Buf (2), Aurelia Sandu (5)
(1) General Surgery Department, „Bagdasar-Arseni” Emergency Hospital Bucureşti,
„Carol Davila” University of Medicine and Pharmacy, Bucureşti
(2) General Surgery Department, „Bagdasar-Arseni” Emergency Hospital Bucureşti
(3) Neurosurgery Department, Piteşti County Hospital
(4) „Carol Davila” University of Medicine and Pharmacy, Bucureşti
(5) First Neurosurgery Department, „Bagdasar-Arseni” Emergency Hospital Bucureşti
Jurnalul de chirurgie 2009; 5 (4): 385-389
Full text:
Format PDF (Română/Romanian)

Abstract:

AIM: We report a case with a very rare combination of gallbladder hypoplasia and duodenal diverticulum, which was an intraoperative laparoscopic finding.  METHOD: A female, 68 years old, with history of dyspeptic syndrome, for almost 2 years, with repeated episodes of overheating, and remission under symptomatic medical therapy, was admitted in our clinic for persistent overheating despite conservative therapy. RESULTS: We establish a preoperative diagnostic of chronic lithiasis cholecystitis, and the patients underwent laparoscopic surgery. Intraoperatory, we found a duodenal diverticulum associated with gallbladder hypoplasia. Postoperative paraclinical examination confirmed the intraoperatory findings and further conducted the therapeutic management. The outcome was favourable, under long-term medical therapy. CONCLUSIONS: Association of a congenital disease (gallblader hypo/aplasia) with a lesion of interest (duodenal diverticulum) excludes the existence of a congenital anomaly with multivisceral determinism. Both pathological entities having nonspecific symptoms, are rarely diagnosed preoperative, and the combination being very rare, there are no protocols requiring complex paraclinical examination, that could establish a preoperative diagnosis. Intraoperatory exploration can be misleading, especially if duodenal diverticulum is located into the gallbladder fossa, and may lead to duodenal lesions with severe consequences.

KEY WORDS: GALLBLADDER HYPOPLASIA, DUODENAL DIVERTICULUM, LAPAROSCOPIC SURGERY

Correspondence to: Valentin Titus Grigorean, MD, PhD, Assoc. Professor of Surgery, General Surgery Department, „Bagdasar-Arseni” Emergency Hospital, Prof. Gh. Marinescu Street, No 19, sector 5, Bucureşti, Romania; e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.