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serendipitously detected at autopsy or exploratory laparotomy in most cases. Though per se usually poses no problems, it sometimes complicates adult cases exhibiting biliary symptoms, defying diagnosis [2-5]. It was once stated that the preoperative diagnosis of CAGB was extremely difficult or even impossible [25] and it still remains exceedingly hard to correctly diagnose the anomaly before an operation despite high accuracy of modern diagnostic techniques [6-8]. Though it is usually associated with the absence of the cystic duct, there have been four cases of the anomaly in the world, so far, reported to be accompanied by the hypogenetic cystic duct [6,7,9,10], whose presence renders it even more difficult to correctly diagnose the anomaly.

Congenital Agenesis of the Gallbladder with the Hypogenetic Cystic Duct Definitely Diagnosed by Peroral Cholangioscopy