Diagnosis and Treatment of Multiseptate Gallbladder with Recurrent Abdominal Pain

Abstract

Laparoscopic cholecystectomy is usually performed for gallstones or polyp of the gallbladder. Multiseptate gallbladder is a rare congenital malformation. Although several asymptomatic cases have been described, patient usually present with right upper abdominal pain. We present a 29-year-old female patient with multiseptate gallbladder, cholecystectomy was performed, and her abdominal pain and gastrointestinal complaints have resolved.

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

“…Clinically, most patients present with colicky pain suggestive of cholecystitis, usually in the right upper quadrant or in the epigastrium, or long term abdominal symptoms such as right upper quadrant tenderness, recurrent abdominal pain, nausea and vomiting, and gastrointestinal complaints. It has been postulated that, the symptoms are produced because of a transient inability of thick bile to pass through the small openings between the septa, resulting in stasis and increased intraluminal pressure of the gallbladder 6,7 . USG examination of the gallbladder is usually sufficient to diagnose MSG, although other modalities such as computed tomography, magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography have been described to establish the diagnosis 8 .…”

Multiseptate gallbladder in an African lioness (Panthera leo)

“…Externally, the MSG appearance varies from normal to bosselated and, when cut open, there are multiple septa that give a honeycomb appearance to the organ (Tan and others 1993, Karaca and others 2011). These septa can involve the lumen of the entire gallbladder or only a portion (Karaca and others 2011). There is a female predominance, and the mean age at diagnosis is less than 30 years (Tan and others 1993, Yamamoto and others 2005).…”

“…It has been postulated that the symptoms accompanying MSG can be the result of either stasis of the thickened bile that prevents normal emptying or uncoordinated contractions of the gallbladder that raise intraluminal pressure (Rivera-Troche and Hartwing 2009). Cholecystotomy is the choice of treatment in symptomatic patients (Miwa and others 2000, Karaca and others 2011). …”

“…Patients usually present with right upper abdominal pain suggestive of cholecystitis, although coexistence with cholelithiasis is very infrequent (Miwa and others 2000). The choice of treatment for symptomatic patients is cholecystectomy (Karaca and others 2011). More than 30 cases have been reported in human patients, but the condition has not been described in animals to date.…”

An Unusual Right Upper Quadrant Pain Cause: Multiseptate Gallbladder

“…Multiseptate gallbladder is a rare congenital malformation of gallbladder that characterised by the presence of bridging multiple septas like honeycomb [1]. Multiple septas may cause stasis of bile and effect motility [1,2]. As a result of this, cholecystitis and cholelithiasis may occur.…”