Advertisement

Multiseptate gallbladder: Clinical and ultrasonographic follow-up for 12years

      Abstract

      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.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Nakazawara T.
        • Ohara H.
        • Sano H.
        • et al.
        Multiseptate gallbladder: diagnostic value of MR cholangiography and ultrasonography.
        Abdom Imaging. 2004; 29: 691-693
        • Esper E.
        • Kaufman D.B.
        • Crary G.S.
        • et al.
        Septate gallbladder with cholelithiasis: a cause of chronic abdominal pain in a 6-year-old child.
        J Pediatr Surg. 1992; 27: 1560-1562
        • Erdogmus B.
        • Yazici B.
        • Ozdere B.A.
        • et al.
        Clinical and ultrasonographic findings in patients with multiseptate gallbladder.
        Tohoku J Exp Med. 2004; 204: 215-219
        • Lev-Toaff A.S.
        • Friedman A.C.
        • Rindsberg S.N.
        • et al.
        Multiseptate gallbladder: incidental diagnosis on sonography.
        AJR Am J Roentgenol. 1987; 148: 1119-1120
        • Turkvatan A.
        • Erden A.
        • Celik M.
        • et al.
        Ectopic hypoplastic and multiseptate gallbladder with coexisting choledochal cyst: evaluation with sonography and magnetic resonance cholangiopancreatography.
        J Clin Ultrasound. 2006; 34: 88-91
        • Kapoor V.
        • Federle M.P.
        • Peterson M.S.
        • et al.
        Long-term sonographic follow-up of stable imaging findings of multiseptate gallbladder.
        JUM. 2002; 21: 677-680
        • Wanaguru D.
        • Jiwane A.
        • Day A.S.
        • et al.
        Multiseptate gallbladder in an asymptomatic child.
        Case Rep Gastrointest Med. 2011; 2011: 470658
        • Rivera-Troche E.Y.
        • Hartwig M.G.
        • Vaslef S.N.
        Multiseptate gallbladder.
        J Gastrointest Surg. 2009; 13: 1741-1743
        • Miwa W.
        • Toyama K.
        • Kitamura Y.
        • et al.
        Multiseptate gallbladder with cholelithiasis diagnosed incidentally in an elderly patient.
        Intern Med. 2000; 39: 1054-1059
        • Sugawara T.
        • Kamei M.
        • Sato M.
        • et al.
        Three cases of multiseptate gallbladder.
        Nihon Geka Gakkai Zasshi. 2001; 102: 358-362