ABSTRACT
Gallbladder agenesis is a rare congenital malformation that can present itself with comparable symptoms as any case of cholelithiasis. We present a case of a 76-year-old male patient without any medical background of significance who presented at the ER complaining of sudden abdominal pain that started two hours prior to his arrival. Laboratory tests were ordered and an increase in total bilirubin was noted, showing a cholestatic pattern. An abdominal ultrasound was performed where the gallbladder could not be found; therefore, an abdominal CT and an MRI were ordered, which later confirmed gallbladder agenesis. Endoscopic retrograde cholangiopancreatography (ERCP) was then performed with sphincterotomy and the patient was discharged 24 hours later without any complications noted. Gallbladder agenesis is a rare but important diagnosis that general surgeons must have in their diagnostic repertoire because of its ability to mimic acute cholecystitis or cholelithiasis. The objective of this report is to summarize the principal details of this entity.
ABSTRACT
A 16-year-old female patient showed up at the orthopaedics unit complaining of intolerable pain on her left hip. While being questioned and her clinical history written down, she shared that as part of her daily exercise routine, she ran 10 miles (16 km) daily at a speed of 9.5-10.5 mph (15-17 km/hour). MRI was consequently ordered, confirming the presence of a stress fracture. Therefore, immediate suspension of physical activity was indicated, followed by the prescription of crutches as well as restricted weight bearing. Gradually, she recovered complete functionality and approximately a month after she had entirely healed. While on a skiing trip, again she abruptly developed an acute pain on her right hip. Another MRI was ordered; its result confirmed a new stress fracture. Her previous treatment has proved so successful, a conservative approach was once again prescribed for her, showing optimum results 6 months later.
