Multiseptate gallbladder in a child

Bertozzi, Mirko; Bizzarri, Ilaria; Angotti, Rossella; Fusi, Giulia; Ceppi, Stefania; Cara, Giuseppe Di; Esposito, Susanna; Messina, Mario; Molinaro, Francesco

doi:10.1016/j.epsc.2019.101212

Cited by 4 publications

(1 citation statement)

References 30 publications

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“…Kohler in Abrahamson (1961) reported a case of multiseptate bladder and other congenital anomalies which was found accidentally at the autopsy of a 10 days aged infant, microscopically found multiple septa formed from fibromuscular layer covered by transitional epithelium which was identical to the histological picture of the bladder wall. Another study also found that multiseptate bladder was also found in 7-year-old girl with 2 years duration of abdominal pain (Bertozzi et al 2019).…”

Section: Discussionmentioning

confidence: 81%

Duplication and Multiseptate Urinary Bladder: A Rare Case Report

Zulfikar

Djatisoesanto

Tarmono

2021

FMI

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The multiseptate bladder is a congenital bladder anomaly that is very rare and often accompanied by other congenital abnormalities. This condition could result in intravesical obstruction and kidney failure in more serious conditions. A 3-year-old girl without any complaint was consulted by the Pediatric Surgery Department with postoperative cloacal type malformation anorectal (MAR) postero-sagittal anorecto-vagino-urethroplasty (PSARVUP) + sigmoidectomy. Magnetic Resonance Imaging (MRI) of the pelvis showed the appearance of four interconnected multiple fluid lesions. Cystoscopy was performed and found many septa with varied positions and forms. From the cystography during the operation, it was seen duplication of the right and left bladder. There was no further operative treatment in the field of urology because no urinary tract obstruction and normal renal function were found in this study.

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Section: Discussionmentioning

confidence: 81%

Duplication and Multiseptate Urinary Bladder: A Rare Case Report

Zulfikar

Djatisoesanto

Tarmono

2021

FMI

View full text Add to dashboard Cite

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Understanding multiseptated gallbladder: A systematic analysis with a case report

2021

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Multiseptated gallbladder (MSG) (also known as “Honeycomb gallbladder”) is a rare condition that was first described by Knetsch in 1952, and there are around 150 cases described over the world. MSG has been described as a congenital anomaly in most of the cases and as acquired in a few. Moreover, the phenomenon was described with a variety of different symptoms and management. The aim of this article is to have better understanding of this condition and management approach. We are reporting a 4‐year‐old girl, who presented to Sidra Medicine, Qatar with MSG. We have also included 97 cases for review and analysis. The median age of presentation of the condition was 27 years but may present in neonates and in the elderly, while gender was not a risk factor. Abdominal pain is the most common presenting symptom, but it can present without symptoms. Certain congenital anomalies were detected in the pancreaticobiliary system in few patients with MSG. Medical treatment was reported in eight symptomatic patients, four of whom failed therapy. Cholecystectomy was performed in 40 patients, which resulted in resolutions of symptoms in 13 of them. Based on the available literature, congenital MSG is probably due to in‐pouching of gallbladder wall to its own cavity forming septa containing muscular fibers. MSG can be diagnosed solely via imaging, and ultrasound appears to be an effective and feasible mode of diagnosis. Medical treatment efficacy is not well‐known, but cholecystectomy has resulted in complete resolution in symptomatic patients.

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