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Multiseptate gallbladder in a pediatric pateint: A case report and review of literature
Ahmed Amgad1, Sarah Magdy Abdelmohsen2, Ahmed K Ali3
1Faculty of Medicine, Helwan University, Cairo, Egypt; The Research Papyrus Lab, Alexandria, Egypt; Medical Research Group of Egypt, Negida Academy, Arlington, MA, USA.
Introduction:
Multiseptate gallbladder (MSG) is an uncommon congenital condition characterized by internal septa dividing the gallbladder into multiple compartments. This condition poses unique challenges in diagnosis and management due to its rarity and varied clinical presentations.
Case Presentation:
A 4-year-old female presented with a three-month history of colicky abdominal pain. Imaging studies confirmed MSG with gallbladder sludge but no stones. Despite normal initial lab results, the patient underwent a laparoscopic cholecystectomy due to persistent symptoms, resulting in a full recovery with no complications over six months.
Discussion:
The etiology of MSG is unclear, with several embryological theories proposed. Diagnosis relies on imaging techniques like ultrasound and MRI. A literature review of 37 pediatric cases shows a higher prevalence in females and varied clinical presentations. Management includes conservative observation or surgical intervention, with cholecystectomy proving effective for symptomatic cases.
Conclusion:
Multiseptate gallbladder is a rare congenital anomaly in pediatric patients, often requiring imaging techniques like MRCP for accurate diagnosis. While many cases remain asymptomatic and can be managed conservatively, surgical intervention is beneficial for those with persistent symptoms. Early diagnosis and tailored management lead to favorable outcomes.
