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ArticleTitle | Acute Cholecystitis Caused by a Cholesterol Polyp |
AuthorList | Hiroshi Yoshida, Masahiko Onda, Takashi Tajiri, Yasuhiro Mamada, Nobuhiko Taniai, Yoshiaki Mizuguchi, Eiji Uchida, Yasuo Arima and Koho Akimaru |
Affiliation | First Department of Surgery, Nippon Medical School |
Language | EN |
Volume | 68 |
Issue | 3 |
Year | 2001 |
Page | 259-261 |
Received | November 14, 2000 |
Accepted | December 7, 2000 |
Keywords | acute cholecystitis, cholesterol polyp, cholesterol stone, impaction |
Abstract | A 39-year-old man hospitalized with upper abdominal pain had been found to have a 3mm polyp in the body of the gallbladder 3 years previously. Laboratory tests on admission showed mild liver dysfunction. Ultrasonography depicted a dilated gallbladder with increased wall thickness; the polyp could no longer be seen. Computed tomography with drip infusion cholangiography again showed a dilated gallbladder, and also stenosis of the distal cystic duct. The resected specimen obtained by laparoscopic cholecystectomy showed disappearance of the polyp from the body of the gallbladder. A cholesterol stone was incarcerated in the cystic duct, representing an impacted detached cholesterol polyp causing acute cholecystitis. Spontaneous detachment of a cholesterol polyp from the gallbladder mucosa, then, can result in acute cholecystitis. |
Correspondence to | Hiroshi Yoshida, MD, First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan |
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