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Adenomyomatosis of the gallbladder
American Journal of Surgery
|February 1, 1984
Summary
Adenomyomatosis of the gallbladder, a condition causing gallbladder wall thickening, often mimics gallstones. Surgical removal (cholecystectomy) effectively resolves symptoms in most patients.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Adenomyomatosis involves gallbladder mucosa hyperplasia and muscularis hypertrophy, potentially due to bile outflow obstruction.
- This leads to increased intracystic pressure and intramural diverticula formation.
Purpose of the Study:
- To evaluate the clinical presentation and surgical outcomes of patients with adenomyomatosis mimicking calculous cholecystitis.
Main Methods:
- Retrospective review of 1,500 cholecystectomies over 10 years.
- Analysis of 9 patients diagnosed with adenomyomatosis without other gallbladder pathology.
Main Results:
- These 9 patients had symptoms similar to gallstones, with a mean symptom duration of 7.7 years.
- Eight of nine patients experienced symptom resolution post-cholecystectomy; one had marked improvement.
Conclusions:
- Adenomyomatosis can present with symptoms indistinguishable from calculous cholecystitis.
- Cholecystectomy is indicated for patients with adenomyomatosis and symptoms mimicking gallstone disease.
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