Multiseptate gallbladder: A case report and literature review

Area of Science:

• Gastroenterology
• Congenital Anomalies
• Surgical Case Reports

Background:

• Multiseptate gallbladder (MSG) is an exceedingly rare congenital gallbladder anomaly, with only 56 cases reported globally between 1963 and June 2021.
• Currently, no established treatment guidelines exist for pediatric or adult cases of MSG, highlighting a gap in clinical management.
• This case report addresses the diagnostic and therapeutic challenges posed by this uncommon condition.

Observation:

• A 14-year-old female presented with a six-month history of epigastric pain.
• Ultrasonography revealed a characteristic honeycomb appearance of the gallbladder.
• Computed tomography and magnetic resonance cholangiopancreatography confirmed the diagnosis of multiseptate gallbladder.

Findings:

• The patient underwent cholecystectomy for symptomatic multiseptate gallbladder.
• Post-operatively, epigastric pain showed initial limited improvement.
• Concurrent diagnosis of gastritis led to the prescription of a proton-pump inhibitor, resulting in eventual resolution of epigastric pain.

Implications:

• Cholecystectomy is a viable treatment option for multiseptate gallbladder, with patients demonstrating good recovery and no surgical complications.
• Management of associated symptoms, such as epigastric pain, may necessitate additional therapeutic interventions beyond surgery.
• This case underscores the importance of a comprehensive diagnostic and treatment approach for rare congenital gallbladder anomalies.