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Congenital agenesis of the cystic duct and gall bladder is one of the rare occurrences seen in extra hepatic biliary anatomy. It represents a variation in the process of embryogenesis of extra hepatic biliary tree with the incidence of 0.01% 0.06% [1]. This itself can present as an isolated occurrence or associated with other congenital malformations of the extra hepatic biliary tree and the liver [2]. Half of the patients present with symptoms similar to biliary colic or chronic cholecystitis despite an absent gall bladder [10].

An incidental finding of absent gall bladder in laparoscopic exploration - a rare occurrence in extra hepatic biliary anatomy