Abstract
Gallbladder adenomyomatosis is characterized by invagination of the gallbladder mucosal epithelium into the muscularis propria, which results in the formation of an intramural diverticulum. It primarily affects adults and rarely impacts children and is generally considered a benign disorder. The increased use of high-resolution ultrasonography in children has facilitated the diagnosis of gallbladder lesions in young patients. Various imaging modalities can be utilized to achieve a definitive diagnosis. We report a 17-year-old adolescent girl who presented with nausea and was diagnosed with adenomyomatosis. Although abdominal ultrasonography initially suggested a choledochal cyst, magnetic resonance cholangiopancreatography (MRCP) confirmed that the lesion represented gallbladder adenomyomatosis rather than a choledochal cyst. Following consultation with a pediatric surgeon, a cholecystectomy was planned. This case contributes to the limited pediatric literature on gallbladder adenomyomatosis.
Keywords: Adolescent, gallbladder adenomyomatosis, nausea
References
- Kinoshita H, Ariga H, Shirota J, Sasaki K, Shibukawa Y, et al. Combined fundal and segmental adenomyomatosis of the gallbladder in a child: a rare case report. Case Rep Pediatr. 2019; 2019: 2659089. https://doi.org/10.1155/2019/2659089
- Pham HD, Ngo MX, Dang TH. Diffuse gallbladder adenomyomatosis in a child. Cureus. 2021; 13(6): e15555. https://doi.org/10.7759/cureus.15555
- Drakonaki E, Kokkinakis S, Karageorgiou I, Maliotis N, Ioannidoy A, Symvoulakis EK. A case of incidental infantile gallbladder adenomyomatosis: an unusual US finding of uncertain clinical significance. J Ultrason. 2020;20(83): e318-e321. https://doi.org/10.15557/JoU.2020.0055
- Parolini F, Indolfi G, Magne MG, Salemme M, Cheli M, Boroni G, et al. Adenomyomatosis of the gallbladder in childhood: a systematic review of the literature and an additional case report. World J Clin Pediatr. 2016;5(2):223-7. https://doi.org/10.5409/wjcp.v5.i2.223
- Dilek ON, Karasu S, Dilek FH. Diagnosis and treatment of gallbladder polyps: current perspectives. Euroasian J Hepatogastroenterol. 2019;9(1):40-8. https://doi.org/10.5005/jp-journals-10018-1294
- Golse N, Lewin M, Rode A, Sebagh M, Mabrut JY. Gallbladder adenomyomatosis: diagnosis and management. J Visc Surg 2017; 154: 345-353. https://doi.org/10.1016/j.jviscsurg.2017.06.004
- Ferzeliyev O, Oğuz B, Soyer T, Boybey Türer Ö, Haliloglu M, Tanyel FC. Clinical features and outcomes of gallbladder polyps in children. Turk J Gastroenterol. 2022;33(9):803 7. https://doi.org/10.5152/tjg.2022.21944
- Pellino G, Sciaudone G, Candilio G, Perna G, Santoriello A, Canonico S, et al. Stepwise approach and surgery for gallbladder adenomyomatosis: a mini-review. Hepatobiliary Pancreat Dis Int. 2013; 12: 136-142. https://doi.org/10.1016/S1499-3872(13)60022-3
Copyright and license
Copyright © 2025 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.