Gallbladder diaphragm: about a case
Keywords:Hepatic colic, Gallbladder diaphragm, Cholecytectomy
AbstractDiaphragm gallbladder is a very rare anomaly of gallbladder embryogenesis. This malformation is very rare in adults and represents 0.1% of gallbladder anomalies. It can remain asymptomatic for a long time and be discovered fortuitously during a radiological examination for another pathology or be revealed by chronic abdominal pain or by a complication such as cholecystitis or biliary peritonitis. We report the observation of a 34 years old woman with chronic hepatic colic. The biological work-up including a blood count, a hepatic cytolysis and cholestas and CRP determination did not reveal any abnormality, whose morphological examinations concluded to an uncomplicated diaphragm gallbladder. A laparoscopic cholecystectomy was performed. The post-operative course was unremarkable. The intraoperative finding by opening the cholecystectomy specimen confirmed the diagnosis of a diaphragm gallbladder. Histological study confirms the diagnosis of diaphragm vesicle cholecystitis. In this document, we described the clinical and radiological characteristics of this rare anomaly.
Salem AH, Issa H, Naserullah Z. Septate gallbladder: a report of two cases. Ann Saudi Med. 2002;22(5):351-3.
Vil D, Luks FI, Hancock BJ, Garel L, Brochu P, Blanchard H, et al. Diaphragm of the gallbladder: a case report. J Pediatr Surg. 1992;27(10):1301-3.
Oliveira M, Mariz C, Carvalho JL, Gomes AT, Estevao CJ. Diaphragm of the gallbladder: a rare cause of acalculous acute cholecystitis. J Pediatr Gastroenterol Nutr. 2000;31(5):570-1.
Abid M, Mzali R, Feriani N, Derbel R, Frikha F, Ben AM, et al. Gallbladder diaphragm: an unusual cause of acute alithiasic cholecystitis complicated of biliary peritonitis. Rev Med Interne. 2010;31(9):16-8.
Krishnamurthy GT, Krishnamurthy S, Milleson T, Brown PH, Urstadt DS. Segmentation of the gallbladder: effect on bile entry and exit and its clinical relevance in a patient with abdominal pain. Nucl Med Commun. 2007;28(2):109-15.