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. 1993 Jun;34(6):853–856. doi: 10.1136/gut.34.6.853

Non-communicating multiseptate gall bladder and choledochal cyst: a case report and review of publications.

C E Tan 1, E R Howard 1, M Driver 1, I M Murray-Lyon 1
PMCID: PMC1374275  PMID: 8314522

Abstract

A 14 year old girl with multiseptate gall bladder and cystic dilatation of the biliary tree is presented. This is the 20th published case report of patients with multiseptate gall bladder and only the second to be associated with a choledochal cyst. The cystic spaces of the gall bladder did not communicate with the neck of the gall bladder or the rest of the biliary tree, and this unusual feature has not been previously described. A multiseptate gall bladder with a normal biliary tree commonly causes symptoms suggestive of cholecystitis, although gall stones are seldom present. Diagnosis is confirmed by an oral cholecystogram or ultrasound scan that may show the fine intraluminal septae, and these features should be looked for in patients with biliary symptoms without biliary calculi. Cholecystectomy is curative for the isolated gall bladder anomaly but hepaticojejunostomy may be necessary for an associated choledochal cyst.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alawneh I., Baranzanchi I., Jacobi K. Mehrfach septierte Gallenblase als Ursache von Koliken. Med Klin. 1981 Mar 27;76(7):190–191. [PubMed] [Google Scholar]
  2. BIGG R. L. MULTISEPTATE GALLBLADDER. Arch Surg. 1964 Mar;88:501–502. doi: 10.1001/archsurg.1964.01310210175029. [DOI] [PubMed] [Google Scholar]
  3. Bhagavan B. S., Amin P. B., Land A. S., Weinberg T. Multiseptate gallbladder. Embryogenetic hypotheses. Arch Pathol. 1970 Apr;89(4):382–385. [PubMed] [Google Scholar]
  4. Codinach N., Sarles H., Sahel J., Alemanno J. La vésicule biliaire multiseptale: présentation d'un cas. Arch Fr Mal App Dig. 1975 Jul-Aug;64(5):431–435. [PubMed] [Google Scholar]
  5. Croce E. J. The multiseptate gallbladder. Arch Surg. 1973 Jul;107(1):104–105. doi: 10.1001/archsurg.1973.01350190086025. [DOI] [PubMed] [Google Scholar]
  6. Fremond B., Stasik C., Jouan H., Marcorelles P., Chapuis M., Treguier C., Babut J. M. La vésicule multicloisonnée. Une malformation rare des voies biliares. Chir Pediatr. 1989;30(6):292–294. [PubMed] [Google Scholar]
  7. Haslam R. H., Gayler B. W., Ebert P. A. Multiseptate gallbladder. A cause of recurrent abdominal pain in childhood. Am J Dis Child. 1966 Dec;112(6):600–603. doi: 10.1001/archpedi.1966.02090150144021. [DOI] [PubMed] [Google Scholar]
  8. Jena P. K., Hardie R. A., Hobsley M. Multiseptate hypoplastic gallbladder. Br J Surg. 1977 Mar;64(3):192–193. doi: 10.1002/bjs.1800640312. [DOI] [PubMed] [Google Scholar]
  9. Konishi F., Saito H., Asano A. [A case report of multiseptate gallbladder (author's transl)]. Nihon Shokakibyo Gakkai Zasshi. 1975 Oct;72(10):1252–1256. [PubMed] [Google Scholar]
  10. Lev-Toaff A. S., Friedman A. C., Rindsberg S. N., Caroline D. F., Maurer A. H., Radecki P. D. Multiseptate gallbladder: incidental diagnosis on sonography. AJR Am J Roentgenol. 1987 Jun;148(6):1119–1120. doi: 10.2214/ajr.148.6.1119. [DOI] [PubMed] [Google Scholar]
  11. Okuda K., Nakajima M., Nakayama M., Nomura F. Multiseptate gallbladder. Report of a case with a review of literature. Acta Hepatogastroenterol (Stuttg) 1979 Feb;26(1):70–75. [PubMed] [Google Scholar]
  12. Oliva Oliva I., Rodriguez Moran M., Lozano Sanchez F., Gomez Alonso A. Multiseptate gallbladder. Int Surg. 1985 Jan-Mar;70(1):83–84. [PubMed] [Google Scholar]
  13. Pery M., Kaftori J. K., Marvan H., Sweed Y., Kerner H. Ultrasonographic appearance of multiseptate gallbladder: report a case with coexisting choledochal cyst. J Clin Ultrasound. 1985 Oct;13(8):570–573. doi: 10.1002/1097-0096(199010)13:8<570::aid-jcu1870130810>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
  14. Sachsse W., Hiller W. Zur vielfach septierten Gallenblase. Kasuistischer Beitrag. Fortschr Geb Rontgenstr Nuklearmed. 1968 Apr;108(4):547–548. [PubMed] [Google Scholar]
  15. Shaw R. B., Donato C. A., Douglas D. D., Sass J. K., Montegut F. J. Multiseptate gallbladder diagnosed during pregnancy.b0a. Am Surg. 1975 Dec;41(12):818–822. [PubMed] [Google Scholar]
  16. Spech H. J., Hümmer N., Braun H. Septierte Gallenblasen. Med Klin. 1975 May 23;70(21):941–946. [PubMed] [Google Scholar]
  17. Toombs B. D., Foucar E., Rowlands B. J., Strax R. Multiseptate gallbladder. South Med J. 1982 May;75(5):610–612. doi: 10.1097/00007611-198205000-00030. [DOI] [PubMed] [Google Scholar]
  18. Vasinrapee P., Linden K., Cook R. E. Multiseptate gallbladder demonstrated on Tc-99m hepatobiliary imaging. Clin Nucl Med. 1990 Apr;15(4):272–272. doi: 10.1097/00003072-199004000-00018. [DOI] [PubMed] [Google Scholar]

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