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Multiseptated Gallbladder

Posted Sat, 07/19/2008 - 04:20 by aliko76
Images

Figure 1


Clinical History:

A 26-year-old female complained epigastric pain was examined with abdominal ultrasonography that the gallbladder showed multiple septations projecting into the lumen. There was no wall thickening and cholelithiasis. The appearance was suggestive of a multiseptate gallbladder. 


Findings:

 Fig. 1: Right subcostal axial sonogram shows multiple septations in the gallbladder lumen.


Diagnosis:

Multiseptate Gallbladder 


Discussion:

Multiseptated gallbladder is thought to be a congenital malformation. The differential diagnoses to be considered are desquamated gallbladder mucosa and the hyperplastic cholecystoses . Desquamated gallbladder mucosa, an unusual finding in acute cholecystitis, is seen as multiple linear, nonshadowing densities within the gallbladder lumen (1). 


References / Suggested Reading:
  1.  Wales LR. Desquamated gallbladder mucosa: unusual sign of cholecystitis. AJR 1982; 139:810-11.

Author

Ali KOÇ

Radiologist

Kars Government Hospital-Turkey

Sat, 07/19/2008 - 08:15
#1
Vikram Dogra
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Joined: 12/09/2007

Ali:

Thank you for contributing such a beautiful case. Did this case undergo surgery?

Vikram Dogra, MD
Professor of Radiology,Urology &BME

Vikram Dogra, MD Professor of Radiology,Urology & BME University of Rochester, NY

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Sat, 07/19/2008 - 10:04
#2
drrajeshsharma
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Joined: 08/10/2007

This is indeed a rare case.
Cystic lymphangioma is also a differential although age of presentation in this case doesn't favour it.

Dr.Rajesh Sharma MD, DMRD, Department of Radiodiagnosis, Government Medical College, Jammu (J&K) India

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Sun, 07/20/2008 - 09:40
#3
aliko76
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Joined: 04/10/2008

Thank you for your precious comments. I don't know whether patient had surgery or not. Because I can't reach patient.

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