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Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates
Published on: August 23, 2022
[Septate gallbladder and acute cholecystitis in a four-year-old girl (author's transl)]
Insights
A rare case of a four-year-old girl with abdominal pain revealed a septate gallbladder, a congenital condition causing gallbladder division. This finding highlights the importance of considering rare gallbladder anomalies in pediatric patients.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Biology
Background:
- Congenital anomalies of the gallbladder are rare, with septate gallbladder being an exceptionally uncommon finding.
- Early diagnosis and understanding of gallbladder embryology are crucial for managing pediatric abdominal conditions.
Observation:
- A four-year-old girl presented with acute abdominal pain, leading to the discovery of a gallbladder mass.
- Laparotomy revealed a gallbladder distended with fluid (dropsy) and a complete transverse septum dividing the gallbladder.
Findings:
- Microscopic examination confirmed acute cholecystitis in the affected gallbladder.
- The case involved a rare congenital anomaly: a septate gallbladder with a complete transverse septum.
- Embryological review and microphotographs of human embryos were used to explain the etiopathogenesis.
Implications:
- This case underscores the rarity of septate gallbladders and the need for comprehensive diagnostic approaches in pediatric abdominal pain.
- Understanding the embryological basis of such anomalies can aid in diagnosis and management.
- Further research into rare gallbladder malformations is warranted to improve clinical outcomes.
Abstract:
A case of a four year old girl, first seen at the emergency ward for an abdominal pain, is reported. Exploration revealed a mass at the right hypochondrium which a laparotomy labeled as a dropsy gallbladder with a complete transversal septum at the union of the gallbladder's body and infundibulum. Microscopic examination showed an acute cholecystitis. A classification of septate gallbladders is performed and embryology revised. Microphotographs of human embryo are presented making etiopathogenesis of this case understandable. The scanty bibliography on this topic makes this case extremely rare.
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