Presentation
Incidental finding during CT workup for abdominal pain post recent cesarian section.
Patient Data
Incidental Phrygian cap.
Normal lactating breasts in view of a recent delivery.Normal post-surgical anterior pelvic soft tissues. Fluid/hematoma within the uterine cavity. There are no extrauterine hematomas, abscesses or collections. Periportal edema of questionable significance.
A photograph of the Bust of Attis as a child, wearing the Phrygian cap against the coronal reformat of the gallbladder 1,2.
Case Discussion
An example of the most common congenital normal variant of the gallbladder is the Phrygian cap. This stems from the appearance of the gallbladder fundus folding back upon the body and giving rise to an appearance similar to the head garment worn by inhabitants of Phrygia (modern Turkey) 1200-700 BCE.1,2,3. One could easily argue that it resembles an upside-down Phrygian cap rather.
The broad differential diagnosis includes:
gallbladder folds
adenomyomatosis (annular variant)
In this patient, there was no clinical suspicion of uterine sepsis or septicemia given the uterine appearance on CT imaging.
Bust of Attis as a child, wearing the Phrygian cap. Parian marble (from Paros, a Greek island), 2nd century AD, probably during the reign of Emperor Hadrian: the portrait bears resemblance to those of Antinous (a Greek youth from ancient Bithynia, a Roman province at the time).
Author: Jastrow (2006). Original file: http://commons.wikimedia.org/wiki/File:Bust_Attis_CdM.jpg
Modifications: cropped and inverted.
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