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Multiseptate gallbladder: biliary manometry and scintigraphy
M Saimura1, H Ichimiya, G Naritomi
1First Department of Surgery, Kyushu University Faculty of Medicine, Fukuoka, Japan.
Journal of Gastroenterology
|February 1, 1996
Summary
A rare congenital gallbladder anomaly, multiseptate gallbladder, caused epigastric pain in a 30-year-old man. Diagnostic tests confirmed gallbladder dysfunction, and surgery provided complete pain relief, highlighting the utility of biliary manometry and scintigraphy.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Congenital Anomalies
- Diagnostic Imaging
Background:
- Multiseptate gallbladder is an extremely rare congenital anomaly.
- Epigastric pain can be a presenting symptom of gallbladder abnormalities.
- Accurate diagnosis is crucial for effective treatment of biliary disorders.
Observation:
- A 30-year-old male presented with epigastric pain attributed to a multiseptate gallbladder.
- Ultrasonography and endoscopic retrograde cholangiography revealed a hypoplastic gallbladder with multiple septa.
- Cerulein injection reproduced pain, with biliary manometry and scintigraphy indicating impaired gallbladder filling and emptying.
Findings:
- The patient experienced significant epigastric pain due to gallbladder dysfunction.
- Diagnostic imaging and functional tests confirmed the anomaly and its impact on gallbladder motility.
- Laparoscopic cholecystectomy led to complete resolution of the patient's symptoms.
Implications:
- Biliary manometry and scintigraphy are valuable tools for assessing symptomatic patients with rare gallbladder anomalies.
- Surgical intervention, such as laparoscopic cholecystectomy, can effectively treat pain associated with multiseptate gallbladder.
- This case underscores the importance of considering rare congenital anomalies in the differential diagnosis of chronic abdominal pain.