Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report
<p>Abstract</p> <p>Background</p> <p>Gallbladder adenomyomatosis is a benign condition characterized by hyperplastic change in the gallbladder wall and overgrowth of the mucosa because of an unknown cause. Patients with gallbladder adenomyomatosis usually present with a...
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| Format: | Article |
| Language: | English |
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BMC
2011-10-01
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| Series: | BMC Gastroenterology |
| Online Access: | http://www.biomedcentral.com/1471-230X/11/106 |
| _version_ | 1818275896813944832 |
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| author | Jin Jong-Shiaw Yang Ya-Sung Chang Feng-Yee Lin Sheng-Hong Chen Teng-Wei |
| author_facet | Jin Jong-Shiaw Yang Ya-Sung Chang Feng-Yee Lin Sheng-Hong Chen Teng-Wei |
| author_sort | Jin Jong-Shiaw |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Gallbladder adenomyomatosis is a benign condition characterized by hyperplastic change in the gallbladder wall and overgrowth of the mucosa because of an unknown cause. Patients with gallbladder adenomyomatosis usually present with abdominal pain. However, we herein describe a case of a patient with gallbladder adenomyomatosis who did not present with abdominal pain, but with only fever.</p> <p>Case presentation</p> <p>A 34-year-old man presented to our hospital with a fever. No abdominal discomfort was declared. His physical examination showed no abnormalities. Ultrasound of the abdomen revealed thickness of the gallbladder. Acute cholecystitis was diagnosed. The fever persisted even after 1 week of antibiotic therapy. Magnetic resonance imaging of the abdomen showed gallbladder adenomyomatosis with intramural Rokitansky-Aschoff sinuses. Exploratory laparotomy with cholecystectomy was performed. The fever recovered and no residual symptoms were reported at the 3-year follow-up.</p> <p>Conclusions</p> <p>Gallbladder adenomyomatosis can present with fever as the only symptom. Although the association between gallbladder adenomyomatosis and malignancy has yet to be elucidated, previous reports have shown a strong association between gallbladder carcinoma and a subtype of gallbladder adenomyomatosis. Surgical intervention remains the first-choice treatment for patients with gallbladder adenomyomatosis.</p> |
| first_indexed | 2024-12-12T22:37:02Z |
| format | Article |
| id | doaj.art-b83612065b414d6898f16050b5e606be |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-12T22:37:02Z |
| publishDate | 2011-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-b83612065b414d6898f16050b5e606be2022-12-22T00:09:27ZengBMCBMC Gastroenterology1471-230X2011-10-0111110610.1186/1471-230X-11-106Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case reportJin Jong-ShiawYang Ya-SungChang Feng-YeeLin Sheng-HongChen Teng-Wei<p>Abstract</p> <p>Background</p> <p>Gallbladder adenomyomatosis is a benign condition characterized by hyperplastic change in the gallbladder wall and overgrowth of the mucosa because of an unknown cause. Patients with gallbladder adenomyomatosis usually present with abdominal pain. However, we herein describe a case of a patient with gallbladder adenomyomatosis who did not present with abdominal pain, but with only fever.</p> <p>Case presentation</p> <p>A 34-year-old man presented to our hospital with a fever. No abdominal discomfort was declared. His physical examination showed no abnormalities. Ultrasound of the abdomen revealed thickness of the gallbladder. Acute cholecystitis was diagnosed. The fever persisted even after 1 week of antibiotic therapy. Magnetic resonance imaging of the abdomen showed gallbladder adenomyomatosis with intramural Rokitansky-Aschoff sinuses. Exploratory laparotomy with cholecystectomy was performed. The fever recovered and no residual symptoms were reported at the 3-year follow-up.</p> <p>Conclusions</p> <p>Gallbladder adenomyomatosis can present with fever as the only symptom. Although the association between gallbladder adenomyomatosis and malignancy has yet to be elucidated, previous reports have shown a strong association between gallbladder carcinoma and a subtype of gallbladder adenomyomatosis. Surgical intervention remains the first-choice treatment for patients with gallbladder adenomyomatosis.</p>http://www.biomedcentral.com/1471-230X/11/106 |
| spellingShingle | Jin Jong-Shiaw Yang Ya-Sung Chang Feng-Yee Lin Sheng-Hong Chen Teng-Wei Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report BMC Gastroenterology |
| title | Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report |
| title_full | Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report |
| title_fullStr | Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report |
| title_full_unstemmed | Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report |
| title_short | Rare gallbladder adenomyomatosis presenting as atypical cholecystitis: case report |
| title_sort | rare gallbladder adenomyomatosis presenting as atypical cholecystitis case report |
| url | http://www.biomedcentral.com/1471-230X/11/106 |
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