Multiseptate gallbladder with recurrent abdominal pain in a child

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)

“…The embryogenic mechanism by which this congenital malformation develops is not clear. It most likely results from incomplete vacuolisation of the developing gallbladder bud or persistent ‘wrinkling’ of the gallbladder wall (Dermipolat and others 2010). …”

Vesícula biliar multiseptada: Una anomalía congénita infrecuente

“…Otras modalidades incluyen el uso del tecnecio 99m (7) . Independientemente de la técnica de imagen utilizada los hallazgos radiológicos son similares, observando una vesícula de tamaño normal, de contornos lobulados, dividida por múltiples septos o tabiques internos que forman cavidades quísticas, dando un aspecto multiloculado en "panal de abeja" (1,3,7,9,10) . Muchos autores han descrito las ventajas e inconvenientes de cada una de las técnicas de imagen, aunque hoy en día se considera que la ecografía es la técnica de elección por su bajo coste, alta disponibilidad y ausencia de radiaciones, reservando la colangio-RM para descartar anomalías asociadas de la vía biliar.…”

“…A pesar de ser una entidad infrecuente, la vesícula multiseptada no suele presentar problemas de diagnóstico. La adenomiomatosis, la colesterolosis, la colecistitis necrotizante y el quiste hidatídico pueden crear confusión en algunas ocasiones (3,9,10) .…”