Introduction:

The purpose of this report is to describe that gallbladder dyskinesia represents the most diffuse disorder of gastrointestinal motility without knowing the origin; the diagnosis of gallbladder dyskinesia is a challenge, particularly for doctors who are not well related or familiar with this entity of abdominal pain without any abdominal alteration that can explain the patient symptoms. Gallbladder dyskinesia should be suspected in patients with biliary pain, in which liver and pancreatic enzymes, abdominal hepatobiliary ultrasound and upper gastrointestinal endoscopy are normal, without alterations that explain the clinical picture.

Material and methods:

We operated 132 patients, where only 60 patients with gallbladder dyskinesia were enrolled in this study. Fifty-five from the 60 patients underwent a (HIDA) scintigraphy with Boyden test. They were all severely symptomatic, which were not relieved by antacids, prokinetics or proton pump inhibitors.

Results:

Of the 60 patients who underwent to cholecystectomy by laparoscopy surgery, all of them have reported well to excellent functional and symptomatic outcomes with minimal morbidity, no deaths, and no recurrence of symptomatology, six months follow up.

Conclusions:

Since the first description by Krukenberg in 1903, gallbladder dyskinesia approach has not gained worldwide popularity among surgeons. It is our belief that when there are a precise history, complete physical examination that concludes that there are not visceromegalies, and in the absence by US of gallstones or another structural pathology, you should considerate a gallbladder dyskinesia until proven otherwise.

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