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