Pictures in Digestive Pathology
نویسندگان
چکیده
A 28-year-old male with an unremarkable history was referred from the outpatient clinic due to right-flank abdominal pain during the last three months. On physical examination the patient had right-flank tenderness and was negative for Murphy’s sign. The laboratory tests were normal. An abdominal ultrasound was performed, revealing a normal sized gallbladder with thin walls and no stones, although there were signs of multiple thin intraluminal and hyperechogenic septa. The bile duct had a normal caliber with no inner contents. An intravenous contrast (Sonovue) was used which revealed B-mode septal uptake, thus confirming the diagnosis with multiseptate gallbladder. Due to the low symptom burden, which consisted of only mild episodic dull pain that subsided with standard painkillers, a conservative management was selected with no further episodes during a two year follow-up. A repeat abdominal ultrasound after six months showed no changes when compared with the index scan (Figs. 1 and 2).
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