Abstract
Introduction: The septate gallbladder is a rare abnormality with either multiple septums or a single septum. In our case, a 32-year-old male patient was admitted to the hospital for right upper quadrant abdominal pain accompanied by fever. Abdominal CT scan show acute cholecystitis, no gallstones. Preoperative diagnosis: Acute cholecystitis suspected peritoneal biliary infiltration, indicated for emergency laparoscopic cholecystectomy. Intraoperative, the septate gallbladder is enlarged, the wall is thick, and the duodenum is attached. In particular, the fundus compartment of the gallbladder showed necrosis. There were no complications during surgery.
Conclusions: The septate gallbladder can cause complications of gallstones, cholecystitis and especially gallbladder necrosis as in our case. Ultrasonography can detect this abnormality, so careful examination is necessary to avoid omission, especially in the case of patients with recurrent right upper quadrant pain but no gallstones.
Keywords: The septate gallbladder, gallbladder necrosis, cholecystitis.
References
- Aydin, M. C. Bilgici, A. V. Polat, K. Aslan, A. G. Kalayci (2013). Honeycomb gallbladder: a very rare cause of right upper quadrant pain. Pediatr Emerg Care.29(12):1276-7.
- Knetsch (1952). Subdivided gallbladders. Fortschr Geb Rontgenstr.77(5):587-9.
- S. Terkawi, D. Qutob, M. A. Hendaus (2021). Understanding multiseptated gallbladder: A systematic analysis with a case report. JGH Open.5(9):988-996.
- Adear, Y. Barki (1990). Multiseptate gallbladder in a child: incidental diagnosis on sonography. Pediatr Radiol.20(3):192.
- Eduardo Esper, Dixon B Kaufman, Gretchen S Crary, Dale C Snover, Arnoid S Leonard (1992). Septate gallbladder with cholelithiasis: a cause of chronic abdominal pain in a 6-year-old child. Journal of pediatric surgery.27(12):1560-1562.
- A. Deutsch, D. Englestein, M. Cohen, M. Kunichevsky, R. Reiss (1986). Septum of the gallbladder, clinical implications and treatment. Postgrad Med J.62(728):453-6.
- H. Al-Salem, H. Issa, Z. Naserullah (2002). Septate gallbladder: a report of two cases. Ann Saudi Med.22(5-6):351-3.
- S. Bhagavan, P. B. Amin, A. S. Land, T. Weinberg (1970). Multiseptate gallbladder. Embryogenetic hypotheses. Arch Pathol.89(4):382-5.
- Niladri Kumar Mahato (2010). Septate gallbladder: Gross and histological perspectives in an uncommon occurrenceglass. International Journal of Anotomical Variations.70-72.
- Sasaki, Y. Tokunaga, N. Minami (2004). The honeycomb gallbladder: a new category of acquired pseudo-multiseptate gallbladder. J Hepatobiliary Pancreat Surg.11(5):375-8.
- Seider, B. Darazsova, T. J. Marais (1988). Genuine septation of the gallbladder. A case report. S Afr Med J.73(5):310.
- Robert e. Gross (1936). Congenital anomalies of the gallbladder: A review of one. Hundred and forty-eight cases, with report of a double gallbladder. . Archives of Surgery.32(1):131-162.