Acute cholecystitis caused by a cholesterol polyp.
A 39-year-old man hospitalized with upper abdominal pain had been found to have a 3mm polyp in the body of the gallbladder 3 years previously. Laboratory tests on admission showed mild liver dysfunction. Ultrasonography depicted a dilated gallbladder with increased wall thickness; the polyp could no longer be seen. Computed tomography with drip infusion cholangiography again showed a dilated gallbladder, and also stenosis of the distal cystic duct. The resected specimen obtained by laparoscopic cholecystectomy showed disappearance of the polyp from the body of the gallbladder. A cholesterol stone was incarcerated in the cystic duct, representing an impacted detached cholesterol polyp causing acute cholecystitis. Spontaneous detachment of a cholesterol polyp from the gallbladder mucosa, then, can result in acute cholecystitis.
Yoshida
H
H
First Department of Surgery, Nippon Medical School, Japan.
Onda
M
M
Tajiri
T
T
Mamada
Y
Y
Taniai
N
N
Mizuguchi
Y
Y
Uchida
E
E
Arima
Y
Y
Akimaru
K
K
D000208:Acute Disease; D000328:Adult; D002764:Cholecystitis / Q000209:etiology*; D002784:Cholesterol / Q000378:metabolism*; D005706:Gallbladder Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D011127:Polyps / Q000150:complications*
D002784:Cholesterol