Adenomyomatosis of the gallbladder in childhood

Alberti, Daniele; Callea, Francesco; G, Camoni; Falchetti, Diego; Rigamonti, Waifro; Caccia, G

doi:10.1016/s0022-3468(98)90021-5

Cited by 25 publications

(28 citation statements)

References 5 publications

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“…Although gallbladder diseases in children are reported with increasing prevalence because of the widespread use of ultrasonography as a diagnostic tool, ADMG in children was first reported in the 1990s and only in four cases to date (Table 1) [1, 6–8]. All four patients were healthy with no underlying disease except for abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

“…Our patient appeared to have this type. Ultrasonography is a very sensitive and specific image modality but further imaging may be used to inform a surgical decision in cases without infection or cholelithiasis [6, 7]. Given the lack of objective evidence of complications related to ADMG, our patient has not needed further invasive imaging and continues to be monitored clinically.…”

Section: Discussionmentioning

confidence: 99%

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Description of the First Case of Adenomyomatosis of the Gallbladder in an Infant

Zárate

Bosanko

Jarasvaraparn

et al. 2014

Case Reports in Pediatrics

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We report here the case of the youngest patient with adenomyomatosis of the gallbladder in a female infant diagnosed at 4 months of age. This diagnosis was made based on characteristic ultrasonography findings in a patient that was undergoing routine surveillance for a suspected clinical diagnosis of Beckwith-Wiedemann syndrome. The patient remains asymptomatic and currently no surgical interventions have been needed. We review the pathophysiology and ultrasonographic findings of this rare condition and present a comparison with the only other four pediatric cases of adenomyomatosis of the gallbladder.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Description of the First Case of Adenomyomatosis of the Gallbladder in an Infant

Zárate

Bosanko

Jarasvaraparn

et al. 2014

Case Reports in Pediatrics

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“…The age distribution shows a preponderance of affected patients in the adult population in the 5th and 6th decades of life [4]. To the best of our knowledge, only three cases of gallbladder adenomyomatosis have been reported in the literature [1,2,7]. Although honeycomb gallbladder solely has also rarely been reported, AMG resembling honeycomb gallbladder has not previously been reported in children.…”

Section: Discussionmentioning

confidence: 96%

Adenomyomatosis of the gallbladder resembling honeycomb in a child

et al. 2007

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Adenomyomatosis of the gallbladder is believed to be an uncommon pathologic condition of the gallbladder in childhood. Only three pediatric cases have been described in the literature up to now. Honeycomb gallbladder has been described in two adult patients; no patients have been reported in childhood until now. To the best of our knowledge, we report here the first case of adenomyomatosis of the gallbladder which resembled honeycomb, in a 9-year-old girl presented with recurrent abdominal pain. The diagnosis was made by ultrasound, and confirmed by magnetic resonance cholangiopancreatography and finally cholecystectomy. In conclusion, ultrasound scanning performed more generally in children presenting with recurrent abdominal pain might lead to accurate diagnosis of adenomyomotosis of the gallbladder during childhood.

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“…Die Kontraktilität ist erhalten, ebenso die glatt begrenzte Außenkontur [53][54][55][56][57][58][59][60][61][62]. Die Adenomyomatose kann allerdings ein sehr heterogenes Bild zeigen, mit Befall der ganzen Gallenblase oder nur von Anteilen.…”

Section: Cholezystolithiasisunclassified

Aktueller Stand der Sonographie in der Gastroenterologie

Nuernberg¹,

Ignee

Dietrich

2007

Med Klin

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GALLBLADDER: Ultrasound has become widely accepted for the diagnosis of gallbladder disease. Sensitivity for cholecystolithiasis is approximately 100%. Cholezystitis including its acute and chronic complications is also a domain of ultrasound techniques. An obstruction of the bile ducts and its localization are easily recognized. Clarifying the etiology is yet another question far more difficult to answer. Ultrasound contrast agents have proven to be useful for clarification of biliary tumors. Gallbladder polyps are well detectable. Adenomas of > 1 cm are an indication for surgery, the detection of a vessel at the polyps' base by color duplex ultrasound is helpful. Gallbladder carcinomas as a disease of the older age with few early symptoms are usually detected at a late stage when the liver is already infiltrated. BILE DUCT SYSTEM: Even with the most modern equipment the sensitivity for choledocholithiasis is still largely dependent on the examiner's expertise und differs between 25% and 100%. Endosonography is more efficient (94-100%). Primary sclerosing cholangitis shows bile duct dilation like "a string of pearls" and typical perihepatic lymph node enlargement. Differentiation from early cholangiocarcinoma is difficult. PANCREAS: In diagnostic imaging of the pancreas ultrasound stands at the beginning of a diagnostic cascade. In contrast to other competing examinations it can be repeated at any time and without X-ray exposure. The informative value, though, is largely dependent on the examiner's expertise. Usually, a CT scan is additionally performed when ultrasound examination is incomplete or limited through examination condition or if doubts on diagnostic accuracy arise. In cases of acute pancreatitis, especially the assessment and follow-up of complications (exudation, necrosis, pseudocysts, vascular complications, and obstructive effects) are precious. Ductal adenocarcinoma seems to be less vascularized in comparison to the surrounding tissue, while endocrine tumors and macro- and microcystic adenoma are rather hypervascularized.

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Adenomyomatosis of the gallbladder in childhood

Cited by 25 publications

References 5 publications

Description of the First Case of Adenomyomatosis of the Gallbladder in an Infant

Description of the First Case of Adenomyomatosis of the Gallbladder in an Infant

Adenomyomatosis of the gallbladder resembling honeycomb in a child

Aktueller Stand der Sonographie in der Gastroenterologie

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