Case Report
Volume: 5 | Issue: 6 | Published: Jun 21, 2021 | Pages: 169 - 172 | DOI: 10.24911/ejmcr/173-1608802699
Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report
Authors: Farkhanda Gillani , Muhammad Babar Imran , Owais Qadeer Gill , Imran Amin , Muhammad Shahzad Afzal
Article Info
Authors
Farkhanda Gillani
Nuclear Medicine Department, PINUM, Cancer Hospital, Faisalabad, Pakistan
Muhammad Babar Imran
Director, PINUM, Cancer Hospital, Faisalabad, Pakistan
Owais Qadeer Gill
Consultant Radiologist, PINUM, Cancer Hospital, Faisalabad, Pakistan
Imran Amin
Principal Scientist, PINUM, Cancer Hospital, Faisalabad, Pakistan
Muhammad Shahzad Afzal
Head of Nuclear Medicine Department, PINUM, Cancer Hospital, Faisalabad, Pakistan
Publication History
Received: January 23, 2021
Accepted: May 22, 2021
Published: June 21, 2021
Abstract
Background: Gallbladder agenesis is an extremely rare, usually asymptomatic anatomic variation. Enterogastric reflux (EGR) in a patient with gallbladder agenesis was not reported previously. We report a rare case of EGR in a patient with gallbladder agenesis, diagnosed on 99mTc HIDA (hepatobilliary iminodiacetic acid) SPECT-CT (single-photon emission computed tomography-computed tomography) scintigraphy. Case Presentation: A 35-year-old female was referred to Nuclear Medicine Department for Tc99m HIDA scan. She had history of surgical exploration to remove the gallbladder due to suspicion of chronic cholecystitis. But intraoperatively gallbladder was not localized and the patient was referred for Tc99m HIDA scan. Tc99m HIDA scan along with SPECT-CT showed reflux of tracer into the stomach and non-visualized gallbladder. Further imaging by magnetic resonance cholangiopancreatography confirmed the diagnosis of congenital absence of the gallbladder. Conclusion: We conclude that 99mTc HIDA SPECT-CT scintigraphy is helpful in evaluating the true etiology of biliary colic. It should be cautiously reported, mentioning the EGR if present as it may be the true etiology of biliary colic in patients with and without gall bladder. It prevents the added morbidity of surgery, performed with the suspicion of cholecystitis.
Keywords: Gallbladder agenesis, enterogastric reflux, Tc99m HIDA scan, SPECT-CT, green
Pubmed Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal. Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report. EJMCR. 2021; 21 (June 2021): 169-172. doi:10.24911/ejmcr/173-1608802699
Web Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal. Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report. https://ejmcr.com/articles/1309 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1608802699
AMA (American Medical Association) Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal. Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report. EJMCR. 2021; 21 (June 2021): 169-172. doi:10.24911/ejmcr/173-1608802699
Vancouver/ICMJE Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal. Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report. EJMCR. (2021), [cited December 25, 2024]; 21 (June 2021): 169-172. doi:10.24911/ejmcr/173-1608802699
Harvard Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal (2021) Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report. EJMCR, 21 (June 2021): 169-172. doi:10.24911/ejmcr/173-1608802699
Chicago Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal. "Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report." 21 (2021), 169-172. doi:10.24911/ejmcr/173-1608802699
MLA (The Modern Language Association) Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal. "Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report." 21.June 2021 (2021), 169-172. Print. doi:10.24911/ejmcr/173-1608802699
APA (American Psychological Association) Style
Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Imran Amin, Muhammad Shahzad Afzal (2021) Gallbladder agenesis and enterogastric reflux in an adult patient diagnosed by Tc99m HIDA SPECT-CT scintigraphy: a case report. , 21 (June 2021), 169-172. doi:10.24911/ejmcr/173-1608802699