Multiseptate Gallbladder Research Articles

Vesícula biliar multiseptada en paciente pediátrico

Vesícula biliar multiseptada en paciente pediátrico

Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case

BackgroundA multiseptate gallbladder is a very rare congenital malformation in which the lumen is divided into variously sized multiseptal compartments. The pathogenesis and natural history of this disease remain uncertain. We herein describe a pediatric case of a multiseptate gallbladder with pancreaticobiliary maljunction (PBM), which was treated by laparoscopic cholecystectomy.Case presentationA 5-year-old girl was referred to our hospital, because a multiseptate gallbladder had been incidentally detected on abdominal ultrasonography when she presented for transient abdominal pain. Ultrasonography showed hyperechoic septa throughout the lumen of the gallbladder, giving it a honeycomb appearance. The atrophied gallbladder had weak or no contractility. Magnetic resonance cholangiopancreatography performed to detect other coexisting biliary disorders revealed PBM without dilatation of the common bile duct. Although physical examination and laboratory tests revealed no abnormalities, we performed laparoscopic cholecystectomy to prevent cholecystitis and reduce the risk of cancer secondary to the PBM.ConclusionsIn recent pediatric case reports, the indication and timing of cholecystectomy has tended to be determined by the patient’s symptoms and the presence of biliary complications. In the present case, however, the combination of a multiseptate gallbladder and PBM may become problematic in the future. Surgical treatment without delay was appropriate even in this pediatric patient.

Multiseptate Gallbladder. A Case Report.

Introduction. Multiseptate gallbladder is a rare congenital malformation of the gallbladder. Septate gallbladder is a rare congenital anomaly. It is anatomical malformations affecting its shape, size, number, and position.
 Patients with usually admits to the emergency department with differential symptoms such as right upper abdominal pain, nause and vomiting, and abdominal complaints.
 The aim of this case report is to present a case diagnosed with multiseptated gallbladder. 
 Case presentation. This case was diagnosed cause of the symptomatic clinic and with abdominal ultrasound such multiseptated gallbladder without stones. The case underwent surgical intervention for cholecystectomy. After the surgery intervention the material was sent for the histopathological diagnosis.
 Conclusions. We recommend cholecystectomy in such cases due to possible complications in the future. In our case we evidence that the clinical story of patients is determinant for the treatment.

S1570 Multiseptate Gallbladder Presenting With Biliary Colic

S1570 Multiseptate Gallbladder Presenting With Biliary Colic

MULTI-SEPTATE GALLBLADDER, A RARE ANOMALY!

Multiseptate Gallbladder (MSG) is a congenital problem with varing clinical presentation. Its prevelance in peadriatic age group is much less as compared to adults, especially in females, making it a rare condition. Symptoms may be mild or severe, or patient may be completely asymptomatic, with incidental sonographic diagnosis. Exclusion of other associated conditions is also required. Its correct diagnosis is important, so that the patient can be observed for complications including possibility of carcinoma in rare instances. We report here a case of a female child, diagnosed as having Multiseptate gallbladder, at Hearts International Hospital, Rawalpindi, Pakistan . She is being regularly followed in opd.

A case report on multiseptate gallbladder clinical manifestation and treatment/multiseptate gallbladder – Clinical manifestation and treatment

Multiseptate gallbladder is a rare congenital abnormality, only a few cases have been reported in the literature. These gallbladders have transversely oriented septa, with or without gallstones. Most patients present with recurrent biliary pain. The patients who are symptomatic with colic pain benefit from laparoscopic cholecystectomy. We discuss a case of an 18-year-old female who has been complaining of the right upper quadrant pain for the past 12 months with normal liver functions and diagnosed with multiseptated gallbladder on ultrasound abdomen. She undergone laparoscopic cholecystectomy and intraoperative cholangiogram cannulation failed due to a small fibrotic cystic duct. Postoperatively, she had complete resolution of symptoms.

S1409 A Rare Case of Symptomatic Multiseptate Gallbladder in a Young Female

INTRODUCTION: Multiseptate gallbladder is a rare congenital anomaly. Usually, these cases are incidentally found during surgery or imaging. We present the case of a young female patient who had intermittent epigastric pain and was found to have a septated gallbladder for which she ultimately required cholecystectomy to get symptomatic relief. CASE DESCRIPTION/METHODS: A 19 year old female with no prior medical history, presented with intermittent postprandial epigastric abdominal pain for 6 months. The pain would begin soon after meal intake, would be moderately severe and continue for the next 2–3 hours. No specific foods patterns were noted as a trigger. She tried to treat the pain with calcium based antacid tablets to attempt to alleviate her pain, but these did not offer any relief. Her pain was also associated with nausea but no other gastrointestinal symptoms were present. Family history was significant for symptomatic cholelithiasis in the patient’s sister requiring cholecystectomy. Social history was positive for active cigarette use. There was mild right upper quadrant tenderness on palpation during physical exam. Labs revealed a mildly elevated total bilirubin of 1.57 mg/dL while other LFTs, electrolytes, renal function and CBC were within normal limits. Urine pregnancy test was negative. An abdominal ultrasound revealed a gallbladder with multiple septations (Image 1) and hepatic steatosis. She underwent esophagogastroduodenoscopy which was normal and biopsies of her stomach and small bowel were also normal. The pain continued despite conservative management and so subsequently she had laparoscopic cholecystectomy which resulted in cessation of her pain during follow up clinic visit a few weeks after her surgery. The gallbladder tissue was sent for pathological evaluation, which showed mild chronic cholecystitis (Image 2). DISCUSSION: To our knowledge, multiseptate gallbladder has been rarely reported in the literature and chronic cholecystitis is not a common etiology. Symptoms usually occur due to transient impaired emptying of bile from the gallbladder. Some patients have had co-existing pancreatic and biliary duct abnormalities as well as gallbladder or bile duct cancer. Most of the cases were symptomatic and required therapy. Treatment options include conservative measures such as intake of a modified diet or treatment with ursodeoxycholic acid which have limited benefit and patients usually ultimately require cholecystectomy as definitive treatment.Figure 1.: US abdomen showing multiple septations in the gallbladder. No thickening of gallbladder wall or pericholecystolic fluid seen.Figure 2.: & E stain (10X) showing mild chronic cholecystitis with lymphocytic inflammation within the lamina propria (red arrows) and muscularis (blue arrows). Fibrosis and metaplastic changes are absent.

Multiseptate Gallbladder in a Patient with Biliary Dyskinesia

AbstractBiliary dyskinesia due to a multiseptate gallbladder has been rarely described in literature. Septations within the lumen of the gallbladder can lead to bile resistance, causing symptoms of abdominal pain, nausea, and vomiting. The majority of cases are due to congenital malformation during the development of the gallbladder. Ultrasound (US) is usually sufficient to make the diagnosis, although other imaging techniques can be used for confirmation. We present the case of a 60-year-old female who presented to the emergency room (ER) with biliary pain due to septations in the lumen of her gallbladder.

A case of multiseptate gallbladder combined with xanthogranulomatous cholecystitis

A case of multiseptate gallbladder combined with xanthogranulomatous cholecystitis

Multiseptate Gallbladder with Recurrent Abdominal Pain. A Case Report and Literature Review.


 
 Background: Chronic abdominal pain is a common disorder in children and adolescents worldwide. In attacking this problem, the pediatrician often concentrates on the gastrointestinal or genitourinary tract as a source of the pain. Too little attention is paid to the gallbladder as the cause of pain in this age group.1 We report a 6-year-old girl who presented with recurrent abdominal pain and was diagnosed as having a multiseptate gallbladder (MSG). MSG, although rare, should be considered in the differential diagnosis of patients presenting with recurrent abdominal pain and abdominal ultrasonography should form part of the investigation.
 

Multiseptate gallbladder in a child

Abstract Multiseptate gallbladder (MSG) is a rare congenital anomaly. MSG may be accompanied with other abnormalities of the biliary tree. MSG can be asymptomatic and most cases are detected incidentally. Nevertheless, some patients present with biliary pain or colicky abdominal pain due to biliary stasis and calculi. We report a case of MSG in a girl who presented with recurrent abdominal pain and normal laboratory work-up recovered after laparoscopic cholecystectomy. A pediatric literature review of this rare anomaly is also performed.

Canine multi-septate gall bladders in Bull Terrier puppies: First description and follow up of the most affected one

Summary Six Bull Terrier puppies of 2 months had ultrasound exam for detection of any liver, kidney and heart anomalies before sale. All had hyperechogenic septa, in the gall bladder, giving it a honeycomb appearance. The puppy, whose septa were the biggest developed cholecystitis and a gall bladder abscess with two gall stones at the age of 5. Septation of the gall bladder is a very rare malformation in humans. One author formulated the hypothesis of a vacuolation anomaly of the gall bladder which occurred during embryo development. Among the 44 human cases published, 12 concerned asymptomatic patients. Clinical manifestations are most frequently biliary symptoms: vomiting and nausea combined with a pain in the upper quadrant of the abdomen. The prevalence of the anomaly among the population is unknown. This case is, as far as we know, the first description of ultrasound modifications and clinical development of multi-septate gall bladder in dog.

Small bowel lymphangioma

There are only a few cases in literature in which a patient with multiseptate gallbladder (MSG) has been followed-up after the diagnosis. A pediatric patient with MSG has been followed-up until adulthood. Diagnosis was made at 10 years after an episode of abdominal pain. Ultrasonography showed a gallbladder with many internal septa, without stones or signs of cholecystitis. Laboratory tests were normal. Symptoms receded in a few days, and it was decided to follow the patient's course. Additional painful episodes occurred at 19 and 22 years. No changes in ultrasonographic findings were observed. MR cholangiography confirmed MSG and ruled out associated biliary ducts anomalies. Although symptomatic patients with MSG have pain relief after cholecystectomy, patients without severe biliary symptoms and without stones probably do not need immediate surgical treatment.

Multiseptate Gallbladder, a Rare Cause of Recurrent Abdominal Pain: A Case Report and Review of the Literature

Multiseptate Gallbladder, a Rare Cause of Recurrent Abdominal Pain: A Case Report and Review of the Literature

A symptomatic multiseptate gallbladder without gallstones

A symptomatic multiseptate gallbladder without gallstones

Multiseptate gallbladder in a child

Multiseptate gallbladder in a child

Laparoscopic cholecystectomy for symptomatic multiseptate gallbladder

Multiseptate gallbladder is a rare congenital anomaly that may be silent or with symptoms. Herein, we report a case of 12-year-old male child with abdominal pain associated with nausea and vomiting. The diagnosis of multiseptate gallbladder was settled at 6 months after the first episode of abdominal pain by screening ultrasound and was confirmed by magnetic resonance cholangiopancreatography. We performed laparoscopic cholecystectomy with complete resolution of preoperative symptoms. The patient was discharged on postoperative day 1. The postoperative course was uneventful without complications.

Recurrent abdominal pain: Multiseptate gall bladder

Aim: We describe herein the case a pediatric patient with incidentally diagnosed multiseptate gall bladder followedup for a year. Case: Seven-year-old boy admitted to our department with recurrent abdominal pain and diagnosed as multiple septa in gall bladder. All laboratory values were normal. There was no sludge in ultrasound. Magnetic resonance cholangiopancreatography didn’t show any congenital abnormality. He’s been abdominal pain only once in a time for the last two years. Conclusion: Although a rare condition in childhood, patients with multiseptate gallbladder should be followed unless without clinical symptoms.

WITHDRAWN: Multiseptate Gallbladder, a rare cause of recurrent abdominal pain: A case report and review of the literature

This article has been withdrawn at the request of the author. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

WITHDRAWN: Multiseptate Gallbladder, a rare cause of recurrent abdominal pain: A case report and review of the literature

WITHDRAWN: Multiseptate Gallbladder, a rare cause of recurrent abdominal pain: A case report and review of the literature