Unsuspected Phrygian Cap Gallbladder in a 71 Year Old Man

Santos, Vitorino Modesto dos; Santos, Lister Arruda Modesto dos; Branco, Adriano Corona; Costa, Juliano Fernandes da

doi:10.14242/2236-5117.2016v51n34a292p287

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…The Phrygian cap anomaly can be mistakenly identified as a thickening of the gallbladder walls, leading to unnecessary surgery [22]. Additionally, there are reported cases of acute cholecystitis in patients with gallstones and Phrygian cap anomaly [23,24]. Only 1 case in the literature described acute cholecystitis without gallstones [25].…”

Section: Discussionmentioning

confidence: 99%

A 42-Year-Old Woman with Recurrent Pancreatitis Associated with Gallstones and Phrygian Cap Gallbladder

Curci,

Cianci,

Montagna

et al. 2024

Am J Case Rep

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Patient: Female, 42-year-old Final Diagnosis: Phrygian cap gallbladder • recurrent pancreatitis Symptoms: Abdomen distension • recurrent pancreatitis Clinical Procedure: — Specialty: Surgery Objective: Rare disease Background: Gallbladder anomalies are rare congenital defects with an incidence rate of approximately 2% in the general population. Phrygian cap gallbladder is a common anatomical variant in which the fundus of the gallbladder folds on itself. Gallstone impaction is rare, and it can be associated with acute pancreatitis. This report describes a 42-year-old woman with recurrent pancreatitis associated with gallstones and Phrygian cap gallbladder. Case Report: We report the case of a 42-year-old woman with acute biliary pancreatitis and a history of repeated hospitalizations for episodes of pancreatitis. A preoperative MRI was conducted, which revealed the presence of a Phrygian cap gallbladder that had not been previously reported in imaging studies. The patient underwent cholecystectomy surgery with a laparo-endoscopic approach (rendezvous technique). No intra- or postoperative complications occurred. Conclusions: We report a case of acute biliary pancreatitis caused by stone migration and describe the anatomical variant of the Phrygian cap gallbladder with its clinical implications. The literature contains very few reports of cholecystitis or pancreatitis in patients with a gallbladder anomaly. Continuous reporting of anatomical variations of the gallbladder and biliary tract improves clinical knowledge, and knowledge of gallbladder anomalies is crucial to avoid injury to the biliary tract during laparoscopic cholecystectomy. This case emphasizes the importance of accurate preoperative evaluation to prevent serious surgical complications.

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Section: Discussionmentioning

confidence: 99%

A 42-Year-Old Woman with Recurrent Pancreatitis Associated with Gallstones and Phrygian Cap Gallbladder

Curci,

Cianci,

Montagna

et al. 2024

Am J Case Rep

View full text Add to dashboard Cite

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“…Concerning the bending, shape and folding of the gall bladder on its body, this may easily be identified by ultrasonography. Therefore, radiologist should at all times notify physician regarding existing of an aberrant Phrygian cap if any exists 13 . At 4 th gestational week, primitive midgut's ventral wall gives rise to two buds consisting of hepatic diverticulum which gives origination to liver, biliary tract and partially to pancreas.…”

Section: Discussionmentioning

confidence: 99%

Congenital Anomaly of Gall Bladder Assessed Through Magnetic Resonance Cholangiography in Relation to Its Clinical Relevance

Ishaque

Fatima

Siddiqui

et al. 2020

ashkmdc

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Objective: The overall incidence of Phrygian cap is about 04%. It is an anomaly of gall bladder found congenitally. It can be a misguided pathological diagnosis often seen mimicking a liver mass on imaging of the hepatobiliary tree. Although Phrygian cap is a congenital anomaly, it does not show any pathological significance, In light of this condition, the purpose of this research was to find out the congenital anomalies of the gallbladder through magnetic resonance cholangiopancreatography (MRCP) along with its clinical significance.Methods: A total of 377 patients were selected with a number of 192 females and 185 males, with ages ranging from 16-90 years, with a mean age of 48 years, who had undergone MRCP for diagnosed stone in gallbladder or bile duct on a clinical basis, carcinoma of pancreas and inflammatory changes of pancreatic and/or bile ducts. The patient's imaging was done using a 1.5-T superconductive magnet which was four-channel phase-arrayed body coil and breath-holding technique was utilized, using multi-sliced T2-weighting half-Fourier acquisition single-shot turbo spin-echo (HASTE), MIP reconstruction, and also single-shot T2-weighted turbo-spin-echo sequence rapid acquisition with relaxation enhancement (RARE) having a varying thickness of slices.Results: The MRCP imaging results demonstrated extra hepatic biliary tract anomalies in 94 out of the 377 patients which represented a frequency of 24.93%. However, a Phrygian cap was found to be present in 6 patients with a frequency of 1.6% with 4 females and 2 males.Conclusion: From the results that we achieved, it was made quite apparent that congenital anomalies can be classified as a complex spectrum of variations that have a propensity to occur on a regular basis, emphasizing their value for attention in clinical as well as surgical settings along with the need to be readily identifiable with MRCP.

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Unsuspected Phrygian Cap Gallbladder in a 71 Year Old Man

Cited by 2 publications

References 8 publications

A 42-Year-Old Woman with Recurrent Pancreatitis Associated with Gallstones and Phrygian Cap Gallbladder

A 42-Year-Old Woman with Recurrent Pancreatitis Associated with Gallstones and Phrygian Cap Gallbladder

Congenital Anomaly of Gall Bladder Assessed Through Magnetic Resonance Cholangiography in Relation to Its Clinical Relevance

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