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Severe Gallbladder Dyskinesia With 2% Ejection Fraction: A Comprehensive Clinicoradiologic and Pathologic Case
Newton Rahming1, Shinelle De Almeida2, Ulrica Armbrister3
1Surgery, Caribbean Medical University, Willemstad, CUW.
Gallbladder dyskinesia (GBD) causes biliary pain without gallstones. Functional biliary imaging is crucial for diagnosis, with low gallbladder ejection fraction indicating severe dysfunction and potential surgical success.
Area of Science:
- Gastroenterology
- Functional Biliary Disorders
- Hepatobiliary Imaging
Background:
- Gallbladder dyskinesia (GBD) is a functional biliary disorder causing biliary colic without gallstones or obstruction.
- Symptoms arise from impaired gallbladder contractility and bile stasis, often missed by standard imaging.
- Reduced gallbladder ejection fraction (EF) on cholecystokinin (CCK)-stimulated hepatobiliary scintigraphy is diagnostic.
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