Materials and Methods: 57 gall bladder and liver specimens removed from cadavers from the department of Anatomy at Sri Sathya Sai Medical College and Research Institute, Kancheepuram, were studied after obtaining due ethical committee clearance.

Results: The folded fundus of the gall bladder the Phrygian cap was seen in 5 of 57 specimens. Hartmann's pouch is simply an asymmetric bulging of the infundibulum and the neck of the gall bladder close to the point of exit of the cystic duct, instead of a gradual tapering to the duct. This was observed in 4 specimens. Congenital absence of gall bladder was observed in one liver specimen. This liver showed multiple abscesses. Section of the liver was made to see the presence of intrahepatic gall bladder. There was no gall bladder. Bits of liver tissue were sent for histopathological study. The tissue showed biliary cirrhosis.

Conclusion: Apreoperative diagnosis of congenital absence of the gall bladder is difficult and there are no group of symptoms or signs which are of value in making such a diagnosis. These anomalies, although in themselves are very rare, are so often the site of serious pathologic changes that they become important both from a clinical and anatomic point of view.