Multiseptate gallbladder with acute acalculous cholecystitis

Abstract

Multiseptate gallbladder is a rare congenital malformation of the gallbladder. In some cases, right upper quadrant pain, recurrent abdominal pain, and gallstones were present. We present the sonographic findings in a case of multiseptate gallbladder with acute cholecystitis, which (to our knowledge) has not been reported before. We hypothesize that bile sludge accumulated and subsequent cholecystitis developed as a result of bile stasis in our case because the classic predisposing factors that have been described were absent.

Honeycomb Gallbladder

“…These symptoms are thought to be caused by restricted communication between the compartments, which may slow the flow of the concentrated bile. 1 The presented case was admitted to our emergency department with right upper quadrant pain.…”

“…1 Honeycomb gallbladder is characterized by multiple thin septations within the gallbladder lumen. Patients with HG usually admit to the emergency departments with differential symptoms, such as right upper quadrant pain, nausea and vomiting, and abdominal complaints.…”

Multiseptate Gallbladder in an Asymptomatic Child

“…Only three of the 44 cases were associated with cholelithiasis [8, 12, 13], and one was associated with acute acalculous cholecystitis [14], but none of these were in children. The presence of an associated biliary tract abnormality is an important consideration in the assessment of MSG.…”

Aktueller Stand der Sonographie in der Gastroenterologie

“…Meist handelt es sich um belanglose Knickbildungen in Korpus-und Fundusregion (Beispiel: "phrygische Mütze") [15][16][17]. Gallenblasendivertikel und echte Septen mit beidseitigem Schleimhautüberzug sind selten; der Gallenblasenvolvulus ist eine Rarität [18].…”

“…Sonographisch kann es über die modifizierte Ellipsoidformel (Länge × Breite × Tiefe × 0,5 [Ellipsoidformel = π/6 × Länge × Breite × Tiefe]) geschätzt werden [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]. Im Rahmen einer Funktionssonographie kann die Gallenblasengröße vor und nach Reizmahlzeit bestimmt werden (eine Abnahme um > [40-]60% gilt als physiologisch).…”