Multiseptate Gallbladder, a Rare Cause of Recurrent Abdominal Pain: A Case Report and Review of the Literature
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 2
Abstract
Multiseptate gallbladder is a rare congenital malformation. It was first described by Simon and Tandon in 1963. A 1-year-old boy was admitted to our clinic with the complaints of intermittent abdominal pain and itching. Physical examination was normal; in laboratory tests, only liver enzymes (aspartate aminotransferase: 442 U/L, alanine aminotransferase: 270 U/L) and gamma glutamyl transpeptidase (73 U/L) were elevated. Ultrasonography (USG) showed a multiloculated gallbladder measuring approximately 41x33x46 mm in size with structures of septation with echogenic density contents. On magnetic resonance cholangiopancreatography (MRCP), a multiseptated cystic lesion approximately 90x50x80 mm in size was observed in the inferomedial aspect of the liver. Laparoscopic cholecystectomy was performed. Macroscopic evaluation demonstrated multiple septa dividing the gallbladder into compartments of different sizes. In the post-operative follow-up, liver enzymes fell within the normal range. Multiseptate gallbladder is a very rare congenital anomaly. In most cases, colic pain and nausea are observed. USG, computed tomography, MRCP, endoscopic retrograde cholangio-pancreatography, and hepatobiliary scintigraphy can be used in diagnosis. Cholecystectomy is preferred in the treatment of patients presenting with biliary colic. Asymptomatic cases do not require surgery; follow-up ultrasound scans are recommended. Multiseptate gallbladder should be considered in the differential diagnosis of acute cholecystitis and cholecystitis, in patients with intermittent right upper quadrant pain.
Authors and Affiliations
Can İhsan Öztorun, Rabia Demir, Esra Karakuş, Ceyda Kırsaçlıoğlu Tuna, Süleyman Arif Bostancı, Atilla Şenaylı, Müjdem Nur Azılı, Emrah Şenel
Keywords
Related Articles
- EP ID EP368755
- DOI 10.4274/haseki.3855
- Views 91
- Downloads 0
The Acute Effect of Erythropoietin on Mean Platelet Volume Levels during Hypoxia Reoxygenation Injury in Rats
Aim: This biomedical study tested the effect of erythropoietin (Epo) in rat model, especially in a hypoxia-reoxygenation one. The trend of this factor was evaluated hematologically using serum mean platelets volume (MPV)...
The Use of Negative Pressure Therapy for the Treatment of the Defects on Extremities due to High-Energy Trauma
Aim: Defects of the extremities due to high-energy trauma are common and it is necessary to repair these defects. Reconstruction is possible with simple surgeries using skin grafts and negative pressure therapy (NPT). In...
A Rare Cardiac Tumor in Childhood
The prevalence of primary cardiac tumors has been reported to be between 0.19% and 0.0017%. Cardiac tumors are usually intracavitary lesions and more than 75% of them are benign. Myxomas are rare in childhood and constit...
Rehabilitation Outcomes of Operated Sprengel Deformity (Congenital High Scapula): A Case Report
Sprengel deformity (SD), also known as congenital high scapula, is a rare congenital deformity of one or both scapulae that appears at birth. It is the most common congenital deformity of the shoulder. This condition occ...
The Main Reasons for Emergency Department Visits in Cancer Patients
Aim: This descriptive study was conducted to investigate the main reasons for presenting to the emergency department (ED) in a university hospital among cancer patients. Methods: This study was conducted on 243 patients...