A case report of gallbladder adenomyomatosis and acute gangrenous cholecystitis: A causal or coincidental relationship?

Amir Omar , Rayane Salameh , Karam Karam , Mahmoud Othman
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Abstract

Gallbladder adenomyomatosis (GA) is a benign, acquired pathology of the gallbladder, typically characterized by a favorable prognosis. While patients with GA are generally asymptomatic, nonspecific abdominal pain localized to the right upper quadrant and epigastrium is the most frequently reported symptom. We herein present a case of diffuse gallbladder adenomyomatosis that presented as acalculous cholecystitis, characterized by right upper quadrant pain, fever, and elevated inflammatory markers. Although ultrasound and CT scan did not reveal any radiological abnormalities at initial presentation, a subsequent MRCP confirmed the presence of diffuse gallbladder adenomyomatosis.
胆囊腺肌瘤病与急性坏疽性胆囊炎1例:因果关系还是巧合关系?
胆囊腺肌瘤病(GA)是一种良性的,后天的胆囊病理,典型的特点是良好的预后。虽然GA患者通常无症状,但非特异性腹痛定位于右上象限和上腹部是最常见的症状。我们在此报告一例弥漫性胆囊腺肌瘤病,表现为无结石性胆囊炎,其特征是右上腹疼痛、发烧和炎症标志物升高。虽然超声和CT扫描在最初表现时未显示任何放射学异常,但随后的MRCP证实了弥漫性胆囊腺肌瘤病的存在。
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