Gallbladder Adenomyomatosis Presenting With Abdominal Pain

Abstract

A previously well 50-year-old male presented with a six-year history of worsening right-sided upper abdominal pain, postprandial nausea, and early satiety. His blood tests, including full blood count, liver biochemistry, and serum amylase, were normal. CT of the abdomen with intravenous contrast demonstrated concentric segmental mural thickening of the body and fundus of the gallbladder, with intramural cystic foci (rosary sign). MRI of the abdomen demonstrated segmental gallbladder mural thickening with fluid-filled intramural diverticula (pearl necklace sign) and an hourglass configuration of the gallbladder, consistent with segmental gallbladder adenomyomatosis. The patient subsequently underwent laparoscopic cholecystectomy with histological confirmation of gallbladder adenomyomatosis, without evidence of malignancy. His postoperative recovery was uneventful.

Simultaneous laparoscopic treatment of median arcuate ligament syndrome and segmental adenomyomatosis of the gallbladder: A case report

“…To the best of our knowledge, there are no previous reports of a pathophysiologic link between MALS and adenomyomatosis of the gallbladder. It is reported that adenomyomatosis of the gallbladder also causes abdominal pain [15] . Therefore, both MALS and adenomyomatosis of the gallbladder could have been causes of pain in this patient.…”

Adenomyomatosis of Gallbladder: A case study with Constitutional Homoeopathic treatment

“…Most common presentation of GA is abdominal pain with intermittent bouts of right upper quadrant pain similar to symptomatic gallbladder disease. Nausea and vomiting, intolerance to fatty food are also reported symptoms [8] . The clinical presentation mimics, the more common conditions such as cholecystitis, choledocholelithiasis, cancer of the bile duct and pancreatic cancer.…”