PMC7759406_01
35-Year-old female with biliary colic concerning for acute cholecystitis. Findings: ultrasound image reported as contracted gallbladder.
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No ductal dilatation seen" (Figure 1).
35-Year-old female with biliary colic concerning for acute cholecystitis. Findings: intraoperative photograph showing common bile duct (CBD arrowed), the liver, and the duodenum with the absence of a gallbladder.
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Upon laparoscopic evaluation, no gallbladder was found (Figure 2).
35-Year-old female with biliary colic concerning for acute cholecystitis. Findings: intraoperative photograph showing the use of indocyanine green contrast viewing the common bile duct (CBD arrowed), the right hepatic duct (RHD arrowed), the liver, and the duodenum with the absence of a gallbladder.
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This was further confirmed by intraoperative indocyanine green (ICG) dye cholangiography (Figure 3).
35-Year-old female with biliary colic concerning for acute cholecystitis. Findings: contrast-enhanced CT images of the abdomen in the portal venous phase in the sagittal (1a), coronal (1b), and axial (1c) planes demonstrate empty gallbladder fossa. Technique: axial CT with sagittal and coronal reconstructions, 158 mA, 120 kV, 3 mm slice thickness, and 80 ml Omnipaque 350 intravenous contrast.
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CT scan was performed postoperatively which showed an absent gallbladder (Figure 4).
35-Year-old female with biliary colic concerning for acute cholecystitis. Findings: HIDA scan demonstrating nonvisualization of the gallbladder.
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The patient also underwent a HIDA scan that showed nonvisualization of the gallbladder after 4 hours (Figure 5), suggesting the diagnosis of GA.