Hoang Van Trung, Van Hoang Anh Thi, Nguyen Thanh Tam Thi, Chansomphou Vichit, Trinh Cong Thao
Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.
Department of Radiology, Hue University of Medicine and Pharmacy, Hue, Vietnam.
Case Rep Gastroenterol. 2021 Feb 1;15(1):100-107. doi: 10.1159/000511762. eCollection 2021 Jan-Apr.
Gallbladder adenomyomatosis (GA) is a benign alteration of the gallbladder wall. There are three types involved: segmental, fundal, and diffuse pattern; the last type is very rare. Ultrasound is the imaging method of choice for diagnosing that shows Rokitansky-Aschoff sinuses with cholesterol deposition creating comet-tail artifacts. Asymptomatic GA does not require surgery in case there are no malignant lesions defined by imaging diagnosis. We present the rare case of a 51-year-old man who was admitted to hospital due to abdominal pain concomitant with inflammatory syndrome. Imaging and histological findings were appropriate to diagnose diffuse GA and complication of cholecystitis.
胆囊腺肌增生症（GA）是胆囊壁的一种良性改变。它有三种类型：节段型、基底型和弥漫型；最后一种类型非常罕见。超声是诊断GA的首选影像学方法，其可显示伴有胆固醇沉积的罗-阿窦，产生彗尾征。无症状的GA若影像学诊断未发现恶性病变则无需手术治疗。我们报告了一例罕见病例，一名51岁男性因腹痛伴炎症综合征入院。影像学和组织学检查结果均符合弥漫型GA并胆囊炎并发症的诊断。
