title: Gallbladder leiomyoma in absence of immune system disorders: an unusual diagnosis.
abstract: Mesenchymal neoplasms of the gallbladder are rare and in particular leiomyomas of the gallbladder have been rarely reported, all of them in patients with immune system disorders.This is the first report in Spanish of a 23-year-old female patient with a gallbladder leiomyoma without associated immunodeficiency. The patient lacks a previous history of uterine leiomyoma or any other form of neoplasm. She refers several episodes of epygastralgia. A hydatic cyst led to an initial diagnosis and the gallbladder was removed by means of simple cholecystectomy. The abnormal macroscopic aspect of the sample prompted intraoperative biopsy which revealed a benign gallbladder angiomyoma. Subsequent immunohistochemical analysis of the resected sample yielded the diagnosis of intramural endocavitary leiomyoma negative for EBV and C-kit / CD-117. The patient has good general condition and remains asymptomatic 15 months after surgery.
authors: Unit of Hepato-Biliopancreatic Surgery and Liver Transplantation, Service of General and Digestive Surgery, Hospitales Universitarios Virgen del Rocío, Seville, Spain. segusamjj@gmail.com
authors: Juan José
authors: JJ
authors: Segura-Sampedro
authors: José María
authors: JM
authors: Alamo-Martínez
authors: Jesús
authors: J
authors: Cañete-Gómez
authors: Gonzalo
authors: G
authors: Suárez-Artacho
authors: Joaquín Roberto
authors: JR
authors: González-Cantón
authors: Miguel Ángel
authors: MÁ
authors: Gómez-Bravo
authors: Francisco Javier
authors: FJ
authors: Padillo-Ruiz
mesh_terms: D005260:Female; D005706:Gallbladder Neoplasms / Q000175:diagnosis* / Q000276:immunology; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis* / Q000276:immunology; D055815:Young Adult