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Partial multiseptate gallbladder: sonographic appearance

S Strauss1, R Starinsky, Z Alon

  • 1Department of Radiology, Assaf Harofeh Medical Center, Tel Aviv University, Israel.

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|April 1, 1993
PubMed
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Multiseptate gallbladder, a rare congenital anomaly, presents with internal septa. This study highlights variations in septal location within the gallbladder in pediatric cases, offering new insights into this rare condition.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Imaging
  • Congenital Anomalies

Background:

  • Multiseptate gallbladder is a rare congenital anomaly characterized by internal septa.
  • Typically, these septa traverse the entire gallbladder lumen, creating a honeycomb appearance.
  • Previous literature predominantly describes complete septation of the gallbladder lumen.

Purpose of the Study:

  • To describe sonographic and CT features of multiseptate gallbladder in pediatric patients.
  • To highlight variations in the location of septa within the gallbladder lumen.
  • To expand the understanding of this rare congenital anomaly.

Main Methods:

  • Retrospective review of imaging studies (ultrasound and CT) in three pediatric patients.
  • Detailed analysis of the location and extent of gallbladder septa.

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  • Correlation of imaging findings with the diagnosis of multiseptate gallbladder.

    • Main Results:

    • Three pediatric cases (ages 3, 9, and 16 years) with multiseptate gallbladder were identified.
    • In two patients, the septa were confined to the body and neck of the gallbladder.
    • In one patient, the septa were exclusively located in the fundus of the gallbladder.

    Conclusions:

    • Multiseptate gallbladder can exhibit variations in septal distribution, not always involving the entire lumen.
    • Imaging findings, particularly ultrasound, can reveal septa localized to specific gallbladder regions.
    • This study expands the spectrum of imaging appearances for multiseptate gallbladder in children.