Multiseptate gallbladder: biliary manometry and scintigraphy.
A 30-year-old man with multiseptate gallbladder, a very rare congenital anomaly, is presented. His presenting symptom was epigastric pain. A hypoplastic gallbladder with multiple septa was demonstrated by ultrasonography and endoscopic retrograde cholangiography. An injection of cerulein reproduced pain, and simultaneous biliary manometry and scintigraphy showed impairment of gallbladder filling and emptying. Laparoscopic cholecystectomy resulted in complete relief of the pain. Biliary manometry and scintigraphy are useful to determine the operative indication in a symptomatic patient with this entity.
Saimura
M
M
First Department of Surgery, Kyushu University Faculty of Medicine, Fukuoka, Japan.
Ichimiya
H
H
Naritomi
G
G
Ogawa
Y
Y
Chijiiwa
K
K
Yamaguchi
K
K
Tanaka
M
M
D000328:Adult; D002108:Ceruletide; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D005704:Gallbladder / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005765:Gastrointestinal Agents; D006801:Humans; D008297:Male; D011877:Radionuclide Imaging
D005765:Gastrointestinal Agents; D002108:Ceruletide