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Cholecystitis in an intrahepatic gallbladder. A case report

J D Schmahmann, D M Dent, B Mervis

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |December 25, 1982
    PubMed
    Summary

    A rare case of intrahepatic gallbladder cholecystitis and bile duct stones was successfully treated. Diagnosis was confirmed with advanced imaging, and simple gallbladder drainage with bile duct stone removal provided an effective solution.

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    Area of Science:

    • Gastroenterology and Hepatobiliary Surgery

    Background:

    • Intrahepatic gallbladder is a rare congenital anomaly.
    • Cholecystitis and choledocholithiasis can present with complex symptoms.

    Observation:

    • A patient presented with pyrexia of unknown origin and later developed suppurative cholangitis.
    • Diagnostic imaging successfully delineated the intrahepatic gallbladder and associated pathology.

    Findings:

    • Surgical management involved simple gallbladder drainage and choledocholithotomy.
    • The treatment effectively resolved the patient's symptoms and complications.

    Implications:

    • This case highlights the importance of advanced imaging in diagnosing rare gallbladder anomalies.
    • Conservative surgical approaches can be effective for managing complex cholecystitis and choledocholithiasis in intrahepatic gallbladders.

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