Polypoid lesion of the gallbladder in childhood: case report and literature review.
Gallbladder polypoid lesions are rare in the pediatric patient and sometimes represent an incidental finding. A 13 year old male was referred to the Padua Hospital Pediatric Department for an obesity. A routine abdominal ultrasound (US) detected a gallbladder polypoid lesion 6 mm in diameter, initially considered a gallbladder adenoma. Investigation did not detect any other biliary tract abnormality. After seven months, the asymptomatic patient underwent a follow-up US which revealed the disappearance of the polypoid mass. The following concerns are raised: what is the size of the polypoid mass that should be considered for surgery? How does the presence of symptoms worsen the diagnosis and lead to preferring a surgical approach (cholecystectomy) over an echographic follow-up?
Scarpa
M G
MG
Department of Pediatric Surgery, San Bortolo Hospital, Vicenza.
Gamba
P G
PG
Greggio
N A
NA
Chiarenza
S F
SF
Fasoli
L
L
Musi
L
L
Zanon
G F
GF
D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D005705:Gallbladder Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005706:Gallbladder Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011127:Polyps / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011860:Radiography, Abdominal; D012075:Remission, Spontaneous; D013997:Time Factors; D014463:Ultrasonography