The case is presented of a Cape Coloured female of 74 with a true congenital hypoplasia of the gall bladder, biliary calculi, a cyst-hepatic duct and a duodenal diverticulum. The cause of death was renal suppuration and subsequent spread of the infection, in a diabetic subject. The scanty literature on hypoplasia of the gall bladder is reviewed. The embryology of the biliary tract is presented briefly and a suggestion put forward to account for the origin of accessory hepatic ducts on the grounds of developmental anomaly rather than atavistic reversion.
A case of agranulocytosis has been recorded. The possibility that the condition was due to an antihistamine drug has been discussed. Seven other cases reported in the literature are reviewed, making, a total of eight cases to date in which antihistamine drugs could be inculpated as the cause of agranulocytosis.