Yamasaki Akio, Chijiiwa Kazuo, Jimi Sei-ichiro, Hotokezaka Masayuki, Asada Takashi, Etoh Tadaaki, Naganuma Seiji, Yamaguchi Ken-ichiro
Department of Surgery 1, Miyazaki University School of Medicine, Kiyotake, 889-1692 Miyazaki, Japan.
Hepatogastroenterology. 2008 May-Jun;55(84):859-60.
A 53-year-old Japanese female was referred to Miyazaki University hospital for the surgical treatment of gastric cancer. She had no symptoms and the presence of the complex cystic gallbladder with multiple and linear hyperechogenic septa was incidentally found by ultrasonography. Multicystic lesion of gallbladder was also observed on DIC-CT and MRCP. Neither the bile duct nor the pancreatic duct was dilated. The papilla of the Vater was of normal appearance endoscopically. Pathological study of the biopsy specimen from the type 3 tumor of the stomach showed poorly differentiated adenocarcinoma. Distal partial gastrectomy and cholecystectomy were performed. The gross examination of the gallbladder confirmed the presence of multiple thin septa with honeycomb appearance. Cancer cells were not observed histologically and final diagnosis was the multiseptate gallbladder. The postoperative course was uneventful. We herein report a rare case of multiseptate gallbladder showing the findings on DIC-CT and MRCP.
一名53岁的日本女性因胃癌接受手术治疗而被转诊至宫崎大学医院。她没有症状，超声检查偶然发现有一个复杂的胆囊囊肿，伴有多个线性高回声分隔。在数字减影CT（DIC-CT）和磁共振胰胆管造影（MRCP）上也观察到胆囊的多囊性病变。胆管和胰管均未扩张。内镜检查时，十二指肠乳头外观正常。对胃3型肿瘤活检标本的病理研究显示为低分化腺癌。实施了远端部分胃切除术和胆囊切除术。胆囊的大体检查证实存在多个呈蜂窝状外观的薄分隔。组织学检查未发现癌细胞，最终诊断为多分隔胆囊。术后病程顺利。我们在此报告一例罕见的多分隔胆囊病例，展示了其在DIC-CT和MRCP上的表现。
