Coronary Artery Disease and Gallbladder Inflammatory Pseudopolyps.

Margherita Fosio,Matteo Fassan,Giulia Cherobin,Chiara Giraudo,Roberto Stramare

doi:10.3390/diagnostics12010155

Abstract

Axial MR image demonstrating multiple small gallbladder polypoid lesions characterized by contrast enhancement in a 78-year-old male hospitalized for acute chest pain due to coronary artery disease who showed fever and emesis during hospitalization and had signs of acute acalculous cholecystitis at computed tomography. Given the overall clinical conditions and the MR features, the inflammatory origin of the polyps was considered. The patient underwent cholecystectomy and the histological diagnosis of gallbladder inflammatory pseudopolyps was confirmed. This rare entity represents 5–10% of all gallbladder polyps, and their differentiation from benign and malignant tumors might be challenging especially in acalculous patients, thus surgery is often performed.

Highlights

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A Magnetic Resonance (MR) scan showed multiple small gallbladder polyps characterized by contrast enhancement without any evidence of gallbladder stones (Figure 1b)
The rarity of our case in which the occurrence of gallbladder inflammatory pseudopolyps (GIP) is probably related to acalculous cholecystitis subsequent to acute coronary artery disease, is highlighted by the results of the brief literature search, without any restrictions on language and publication date, we conducted on Pubmed on the 4 January 2022

Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Coronary Artery Disease and Gallbladder Inflammatory Pseudopolyps. He underwent contrast enhanced computed tomography demonstrating acute acalculous cholecystitis with localized gallbladder perforation (Figure 1a). The patient underwent cholecystectomy and the histological diagnosis of gallbladder inflammatory pseudopolyps (GIP) was confirmed (Figure 2a,b).

Results

Conclusion