Multiseptate gallbladder presenting with biliary colic

Abstract

Common diagnoses associated with right upper quadrant and epigastric pain include cholecystitis, peptic ulcer disease (PUD), biliary colic, gastroesophageal reflux disease (GERD) and irritable bowel syndrome (IBS). Multiseptate gallbladder is a rare congenital anomaly that can cause symptoms of biliary colic, however it may present with atypical symptoms, which can prolong definitive diagnosis and treatment. We present a case of multiseptate gallbladder in a 21-year-old female who initially presented with GERD and IBS. After multiple failed treatment regimens for IBS, she ultimately was found to have multiseptate gallbladder and was successfully treated with cholecystectomy.

Multiseptate gallbladder in an asymptomatic child: Case report and review of the literature

“…Right upper quadrant discomfort is the most frequent presenting symptom in patients, who may additionally have symptoms of nausea and vomiting. Patients with multiseptate gallbladder are more commonly symptomatic in adulthood, affecting females more than males [7] . One hypothesis to explain the discomfort in the abdomen is a diminished reservoir function of the vesicle, which would lead to higher intraluminal pressure [1] .…”