Ectopic Pancreas Associated with Choledochal Cyst and Multiseptate Gallbladder

Bahadir, Burak; Özdamar, Şükrü Oğuz; Gün, Banu Doğan; Bektaş, Sibel; Numanoğlu, K. Varım; Kuzey, Gamze Mocan

doi:10.2350/10-05-0125.1

Cited by 26 publications

(18 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Literatürde bildirilen en küçük hasta 15 günlük bir yenidoğan iken, en yaşlı hasta 84 yaşındaki bir kadın hastadır. 6,42 Bahadır ve ark., prenatal koledok kisti tanısı olan bir hastada postoperatif olarak safra kesesindeki septaları görmüşlerdir. Bu yayınhastanın en küçük vaka olmasının dışında literatürde septalı safra kesesi, koledok kisti ve ektopik pankreas birlikteliğinin olduğu ilk vaka olmuştur.…”

Section: Discussionunclassified

Multiseptate Gall Bladder: What to Do? Review of the Literature

a¹,

Avar-Aydın²

2016

Turkiye Klinikleri J Pediatr

View full text Add to dashboard Cite

afra kesesinin doğumsal hastalıkları; safra kesesi ve yollarının yokluğu, hipoplazisi, doğumsal kistleri gibi çok sayıdadır. Septalı safra kesesi ise hem çocukluk çağında hem erişkin dönemde görülmekle birlikte nadirdir. Literatürde bugüne kadar bildirilmiş 63 vaka bulunmaktadır. Turkiye Klinikleri J Pediatr 2016;25(4) 187 Septalı Safra Kesesi: Ne Yapmalı?Literatürün Değerlendirilmesi Ö ÖZ ZE ET T A Am ma aç ç: : Nadir bir hastalık olan septalı safra kesesinin tanı ve tedavisinde bir yaklaşım oluş-turmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : " "PubMed", "Clinical Key", "Science Direct" ve "Google Academics" veri tabanlarında "multiseptate gall bladder" ve "septate gall bladder" kelimeleri aratılarak bulunan bütün çalışmalar incelendi. Bildirenyıllar yirmişer yıllık dönemlere ayrılarak hastalara yaklaşım; cinsiyet, yaş ve yaş grubu, yakınma varlığı, safra çamuru ya da safra taşı varlığına göre değerlendi-rildi. B Bu ul lg gu ul la ar r: : Literatürde 63 hasta bildirilmiş olup çoğunluğu olgu sunumudur. Hastalar en sık Türkiye (n=16), Amerika Birleşik Devletleri (n=15) ve Japonya (n=11) olmak üzere 13 farklı ülke-den bildirilmiştir. Hastalık, yenidoğan döneminden 84 yaşına kadar değişen yaşlarda bildirilmiştir (ortalama 29 yıl, ortanca 26 yıl). Hastaların ameliyat edilme oranları zaman içinde azalma eğili-mindedir. On sekiz yaş altı grupta ameliyat oranları, 18 yaş üstü gruba göre anlamlı derecede düşük bulunmuştur (p<0,01). Opere edilen hastaların patoloji incelemelerinde maligniteye rastlanmaz iken takip edilen olgular sorunsuz seyretmiştir. S So on nu uç ç: : Septalı safra kesesi hastalığı, görülme sıklığı açısından yaş grubu, cinsiyet ve etnik ayrım göstermemektedir. Tanıda ilk tercih edilmesi gereken yöntem ultrasonografidir. Her ne kadar kolesistektomi sonrasında hastaların yakınmaları gerilemiş olsa da yakınmasız olup izlenen veya ameliyat edilenlerde malignite saptanmaması nedeni ile yakınmasız hastaların izlemi daha uygun olacaktır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Safra kesesi hastalıkları; safra kanalı cerrahi işlemleri; safra kanalı hastalıkları A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Being a rare disease, we aim to create an algorithm for management and treatment of multiseptate gall bladder. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : "PubMed", "Clinical Key", "Science Direct" and "Google Academics" databases were searched for "multiseptate gall bladder" and "septate gall bladder" and all articles found were analyzed. The cases were separated by periods of 20 years per year of publications and the management plan was analyzed in regard with patients' sex, age group, complaint and sludge or calculous formation in the gall bladder. R Re es su ul lt ts s: : There are 63 patient in the literature most of which are case reports. The disease has been found in 13 different countries most of which are in Turkey (n=16), USA (n=15) and Japan (n=11). It's documented from newborn to 84 years old (mean 29 years, median 26 years). The rati...

show abstract

Section: Discussionunclassified

Multiseptate Gall Bladder: What to Do? Review of the Literature

a¹,

Avar-Aydın²

2016

Turkiye Klinikleri J Pediatr

View full text Add to dashboard Cite

show abstract

“…Approximately 90% of the cases are located in the upper gastrointestinal tract [2]. The stomach is the most frequent site (25-38% of cases), followed by the duodenum (30%) and the jejunum (15%).…”

Section: Discussionmentioning

confidence: 99%

“…Results showed two polyps in the gallbladder, wherein the largest polyp measured 0.7 × 0.5 cm. Repeat ultrasonography after 6 months showed Histologically, the exocrine and endocrine components of the pancreas can be found in pancreatic heterotopic sites, including full differentiation of the islet in one-third of cases [1,2,9].…”

Section: Case Reportmentioning

confidence: 99%

“…The origin of heterotopic pancreatic tissue is controversial, and several theories have been proposed [2,5,7,8]. The most widely accepted theory is that the heterotopic pancreas is formed by a lateral bud of crude pancreatic duct during their penetration into the gut wall, and then carried by intestinal longitudinal growth [7,8].…”

Section: Case Reportmentioning

confidence: 99%

“…Ectopic or heterotopic pancreas is an abnormality of embryological origin and is defined as the presence of pancreatic tissue histologically identified outside the normal topography without any anatomical, vascular, or neural connection with the gland [1][2][3][4][5][6][7]. Pancreatic heterotopia on the wall of the gallbladder is rare; Jean Schultz first described the condition in 1727, and Klob first confirmed its histopathology in 1859 [1,6,8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ectopic pancreatic tissue in a Gallbladder

Baú¹,

Lucchese²,

Hohmann³

et al. 2016

SOJS

View full text Add to dashboard Cite

SOJ SurgeryOpen Access Case Report that polyp size increased to 1.0 × 0.5 cm, for which the patient underwent laparoscopic cholecystectomy. Family history showed that the patient's 80-year-old father and 54-year-old sister died of pancreatic and colon cancers, respectively. The pathology report described the presence of ectopic pancreas in the gallbladder wall [ Figure 1] and polyp cholesterolosis. DiscussionThe presence of heterotopic pancreas has been described in the stomach, duodenum, jejunum, and spleen; it is rarely found in the ileum, liver, gallbladder, bile ducts, mesentery, lungs, mediastinum, and fallopian tubes [1,3,[6][7][8][9]. Approximately 90% of the cases are located in the upper gastrointestinal tract [2]. The stomach is the most frequent site (25-38% of cases), followed by the duodenum (30%) and the jejunum (15%). In the ileum, the heterotopic pancreas may be associated with Meckel's diverticulum, intestinal obstruction, or intussusception [4]. Only 33 cases of ectopic pancreas in the gallbladder have been described until 2013 [7].A review of 212 cases of ectopic pancreatic tissue in the Mayo Clinic found only one instance in the gallbladder [6].Heterotopic pancreas can be diagnosed at all ages, being more frequent in men; however, a higher incidence of heterotopic pancreas in the gallbladder is found in women [8]. This condition can occur in all age groups, but 50% of cases are diagnosed between the fourth and sixth decades of life [4,6]. AbstractEctopic or heterotopic pancreas is an abnormality of embryological origin and is defined as the presence of pancreatic tissue histologically identified outside the normal topography without any anatomical, vascular, or neural connection with the gland. Is a rare pathologic condition, but with the potential to cause severe symptoms sometimes attributed to idiopathic causes.The authors present an asymptomatic patient who underwent laparoscopic cholecystectomy for polyps, and the pathology report describes the presence of associated pancreatic tissue. A brief review of the literature is also presented.

show abstract

Understanding multiseptated gallbladder: A systematic analysis with a case report

2021

View full text Add to dashboard Cite

Multiseptated gallbladder (MSG) (also known as “Honeycomb gallbladder”) is a rare condition that was first described by Knetsch in 1952, and there are around 150 cases described over the world. MSG has been described as a congenital anomaly in most of the cases and as acquired in a few. Moreover, the phenomenon was described with a variety of different symptoms and management. The aim of this article is to have better understanding of this condition and management approach. We are reporting a 4‐year‐old girl, who presented to Sidra Medicine, Qatar with MSG. We have also included 97 cases for review and analysis. The median age of presentation of the condition was 27 years but may present in neonates and in the elderly, while gender was not a risk factor. Abdominal pain is the most common presenting symptom, but it can present without symptoms. Certain congenital anomalies were detected in the pancreaticobiliary system in few patients with MSG. Medical treatment was reported in eight symptomatic patients, four of whom failed therapy. Cholecystectomy was performed in 40 patients, which resulted in resolutions of symptoms in 13 of them. Based on the available literature, congenital MSG is probably due to in‐pouching of gallbladder wall to its own cavity forming septa containing muscular fibers. MSG can be diagnosed solely via imaging, and ultrasound appears to be an effective and feasible mode of diagnosis. Medical treatment efficacy is not well‐known, but cholecystectomy has resulted in complete resolution in symptomatic patients.

show abstract

Ectopic Pancreas Associated with Choledochal Cyst and Multiseptate Gallbladder

Cited by 26 publications

References 20 publications

Multiseptate Gall Bladder: What to Do? Review of the Literature

Multiseptate Gall Bladder: What to Do? Review of the Literature

Ectopic pancreatic tissue in a Gallbladder

Understanding multiseptated gallbladder: A systematic analysis with a case report

Contact Info

Product

Resources

About