Multiseptated gallbladder

Case contributed by Bruno Alves Vento
Diagnosis almost certain

Presentation

Patient in good health state was referred to us due to prior history of right flank pain due to kidney stones. There were no biliary symptoms.

Patient Data

Age: 45 years
Gender: Female
ultrasound

Multiseptate gallbladder with multiple thin septations in the gallbladder without stones or signs of a cholecystitis

Case Discussion

Multiseptated gallbladder is a rare congenital malformation in which the gallbladder is divided into multiple intercommunicating compartments by thin septa. The septa may be complete or incomplete and are likely secondary to incomplete vacuolization of the gallbladder bud.

Associated anomalies of the biliary ducts have been reported: choledochal cysts, gallbladder ectopy and anomalous junction of biliary and pancreatic ducts.

This malformation may be asymptomatic as in this case, but the coexistence of biliary symptoms and multiseptated gallbladder has been established, such as biliary pain like in cholecystitis.

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