Is gallbladder Adenomyomatosis a risk of cancer?

Is gallbladder Adenomyomatosis a risk of cancer?

Segmental adenomyomatosis is a high-risk condition for gallbladder carcinoma, especially in elderly patients. Epithelial metaplasia appears to be related to increased carcinogenesis in the fundal mucosa of segmental adenomyomatosis.

What is comet tail artifact in gallbladder?

The comet tail artifact was defined as the presence of both a bright hyperechoic focus at the gallbladder lesion and an inverted triangular acoustic enhancement posterior to the hyperechoic focus, which exhibited a gradual decrease in strength and thickness (Fig. 2).

Is Adenomyomatosis of the gallbladder benign?

Gallbladder (GB) adenomyomatosis (ADM) is a benign, acquired anomaly, characterized by hypertrophy of the mucosal epithelium that invaginates into the interstices of a thickened muscularis forming so-called Rokitansky-Aschoff sinuses. There are three forms of ADM: segmental, fundal and more rarely, diffuse.

What does adenomyomatosis of gallbladder mean?

Adenomyomatosis is a benign condition characterized by hyperplastic changes of unknown etiology involving the gallbladder wall and causing overgrowth of the mucosa, thickening of the muscular wall, and formation of intramural diverticula or sinus tracts termed Rokitansky-Aschoff sinuses.

What is the treatment for gallbladder Adenomyomatosis?

The fundal type GA can be treated by partial laparoscopic cholecystectomy. The segmental and diffuse type should undergo a total laparoscopic cholecystectomy. Females over 60 years of age who present gallbladder stones and segmental type GA should undergo surgery (4,44 –46).

What are the symptoms of gallbladder Adenomyomatosis?

Adenomyomatosis of the gallbladder can however manifest with abdominal pain [4,12], presenting with intermittent bouts of right upper quadrant pain similar to symptomatic gallbladder disease (biliary colic and cholecystitis) [13,14].

What causes comet tail ultrasound?

Comet-tail artefact arises from reverberation of the US beam within a small cyst or gas bubble. The multiple echoes generated register as a trail on the image.

What happens if your gallbladder is distended?

Gallbladder distention: If the gallbladder is inflamed because of bile accumulation, it may stretch and swell, causing pain. There is then a much greater risk of a perforation, or tear, in the gallbladder, as well as infection and tissue death.

How common is gallbladder Adenomyomatosis?

1. Gallbladder adenomyomatosis is a common benign lesion (1–9% of the patients).

Does Adenomyomatosis of the gallbladder require surgery?

Symptomatic adenomyomatosis is considered an indication for cholecystectomy, while asymptomatic disease is not an indication for surgery. If there is any clinical or radiological doubt about the possibility of adenocarcinoma of the gallbladder, a cholecystectomy is usually warranted [7].

Does gallbladder Adenomyomatosis require surgery?

Is Adenomyomatosis of the gallbladder painful?

Gallbladder adenomyomatosis is a benign condition characterized by hyperplastic change in the gallbladder wall and overgrowth of the mucosa because of an unknown cause. Patients with gallbladder adenomyomatosis usually present with abdominal pain.

Is the comet tail artifact a reliable sign of benign gallbladder disease?

The ultrasonographic finding of the comet tail artifact in patients with thickened gallbladder lesions is associated with the presence of benign gallbladder diseases, and can be considered a reliable sign of benign gallbladder disease.

What does aadenomyomatomyomatosis mean?

Adenomyomatosis of the gallbladder. Adenomyomatosis of the gallbladder is a hyperplastic cholecystosis of the gallbladder wall. It is a relatively common and benign cause of diffuse or focal gallbladder wall thickening. It is most easily seen on ultrasound and MRI.

How is adadm diagnosed in cholecystitis?

ADM can also be revealed by an attack of acalculous cholecystitis. Pre-operative diagnosis is based mainly on ultrasound (US), which identifies intra-parietal pseudo-cystic images and “comet tail” artifacts. MRI with MRI cholangiography sequences is the reference examination with characteristic “pearl necklace” images.

What is Adenomyomatosis of the gallbladder?

Adenomyomatosis of the gallbladder is a hyperplastic cholecystosis of the gallbladder wall. It is a relatively common and benign cause of diffuse or focal gallbladder wall thickening , most easily seen on ultrasound and MRI. Adenomyomatosis is relatively common, found in ~9% of all cholecystectomy specimens 5.