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Diffuse Gallbladder Adenomyomatosis with an Inflammatory Complication in an Adult
Van Trung Hoang1, Hoang Anh Thi Van1, Thanh Tam Thi Nguyen2
1Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.
Abstract:
Gallbladder adenomyomatosis (GA) is a benign alteration of the gallbladder wall. There are three types involved: segmental, fundal, and diffuse pattern; the last type is very rare. Ultrasound is the imaging method of choice for diagnosing that shows Rokitansky-Aschoff sinuses with cholesterol deposition creating comet-tail artifacts. Asymptomatic GA does not require surgery in case there are no malignant lesions defined by imaging diagnosis. We present the rare case of a 51-year-old man who was admitted to hospital due to abdominal pain concomitant with inflammatory syndrome. Imaging and histological findings were appropriate to diagnose diffuse GA and complication of cholecystitis.
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