Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case
Abstract Background A multiseptate gallbladder is a very rare congenital malformation in which the lumen is divided into variously sized multiseptal compartments. The pathogenesis and natural history of this disease remain uncertain. We herein describe a pediatric case of a multiseptate gallbladder...
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Japan Surgical Society
2022-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01370-4 |
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| author | Noboru Oyachi Fuminori Numano Keiichi Koizumi Atsushi Takano Hiroshi Shibusawa |
| author_facet | Noboru Oyachi Fuminori Numano Keiichi Koizumi Atsushi Takano Hiroshi Shibusawa |
| author_sort | Noboru Oyachi |
| collection | DOAJ |
| description | Abstract Background A multiseptate gallbladder is a very rare congenital malformation in which the lumen is divided into variously sized multiseptal compartments. The pathogenesis and natural history of this disease remain uncertain. We herein describe a pediatric case of a multiseptate gallbladder with pancreaticobiliary maljunction (PBM), which was treated by laparoscopic cholecystectomy. Case presentation A 5-year-old girl was referred to our hospital, because a multiseptate gallbladder had been incidentally detected on abdominal ultrasonography when she presented for transient abdominal pain. Ultrasonography showed hyperechoic septa throughout the lumen of the gallbladder, giving it a honeycomb appearance. The atrophied gallbladder had weak or no contractility. Magnetic resonance cholangiopancreatography performed to detect other coexisting biliary disorders revealed PBM without dilatation of the common bile duct. Although physical examination and laboratory tests revealed no abnormalities, we performed laparoscopic cholecystectomy to prevent cholecystitis and reduce the risk of cancer secondary to the PBM. Conclusions In recent pediatric case reports, the indication and timing of cholecystectomy has tended to be determined by the patient’s symptoms and the presence of biliary complications. In the present case, however, the combination of a multiseptate gallbladder and PBM may become problematic in the future. Surgical treatment without delay was appropriate even in this pediatric patient. |
| format | Article |
| id | doaj-art-3283fa597f9f451e971a45f769cf4835 |
| institution | OA Journals |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Japan Surgical Society |
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| series | Surgical Case Reports |
| spelling | doaj-art-3283fa597f9f451e971a45f769cf48352025-08-20T02:37:36ZengJapan Surgical SocietySurgical Case Reports2198-77932022-01-01811610.1186/s40792-022-01370-4Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric caseNoboru Oyachi0Fuminori Numano1Keiichi Koizumi2Atsushi Takano3Hiroshi Shibusawa4Department of Pediatric Surgery, Yamanashi Prefectural Central HospitalDepartment of Pediatric Surgery, Yamanashi Prefectural Central HospitalDepartment of Pediatric Surgery, Yamanashi Prefectural Central HospitalDepartment of Surgery, Yamanashi Prefectural Central HospitalDepartment of Pediatrics, Yamanashi Kosei HospitalAbstract Background A multiseptate gallbladder is a very rare congenital malformation in which the lumen is divided into variously sized multiseptal compartments. The pathogenesis and natural history of this disease remain uncertain. We herein describe a pediatric case of a multiseptate gallbladder with pancreaticobiliary maljunction (PBM), which was treated by laparoscopic cholecystectomy. Case presentation A 5-year-old girl was referred to our hospital, because a multiseptate gallbladder had been incidentally detected on abdominal ultrasonography when she presented for transient abdominal pain. Ultrasonography showed hyperechoic septa throughout the lumen of the gallbladder, giving it a honeycomb appearance. The atrophied gallbladder had weak or no contractility. Magnetic resonance cholangiopancreatography performed to detect other coexisting biliary disorders revealed PBM without dilatation of the common bile duct. Although physical examination and laboratory tests revealed no abnormalities, we performed laparoscopic cholecystectomy to prevent cholecystitis and reduce the risk of cancer secondary to the PBM. Conclusions In recent pediatric case reports, the indication and timing of cholecystectomy has tended to be determined by the patient’s symptoms and the presence of biliary complications. In the present case, however, the combination of a multiseptate gallbladder and PBM may become problematic in the future. Surgical treatment without delay was appropriate even in this pediatric patient.https://doi.org/10.1186/s40792-022-01370-4Multiseptate gallbladderPancreaticobiliary maljunctionCholecystectomyUltrasonographyPediatrics |
| spellingShingle | Noboru Oyachi Fuminori Numano Keiichi Koizumi Atsushi Takano Hiroshi Shibusawa Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case Surgical Case Reports Multiseptate gallbladder Pancreaticobiliary maljunction Cholecystectomy Ultrasonography Pediatrics |
| title | Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case |
| title_full | Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case |
| title_fullStr | Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case |
| title_full_unstemmed | Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case |
| title_short | Multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy: report of a pediatric case |
| title_sort | multiseptate gallbladder coexisting with pancreaticobiliary maljunction treated by laparoscopic cholecystectomy report of a pediatric case |
| topic | Multiseptate gallbladder Pancreaticobiliary maljunction Cholecystectomy Ultrasonography Pediatrics |
| url | https://doi.org/10.1186/s40792-022-01370-4 |
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