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Adenomyosis of the gallbladder are uncommon. It is a benign alteration in the gallbladder wall commonly mistaken for cancer. However, changes in the wall of the gallbladder should be evaluated and cancer should be ruled out. Here we discuss a case of a young adult who presented with symptoms related to adenomyosis.
Adenomyosis of the gallbladder is an uncommon surgical problem. These problems are uncommon in usual clinical practice. There are many reasons why the gallbladder wall can be thickened. The most important reason that should be ruled out preoperatively is evidence of any cancer. This would mean seeing a specialist and evaluated by a surgical gastroenterologist. The patient was seen and evaluated by MH Surgery Clinic Surgical Gastroenterologist. He underwent through investigation and preoperative evaluation and intraoperative planning. After his evaluation he was recommended surgery for removal of the gallbladder via minimally invasive advanced technique.
During the surgery, we found there was thickening of the gallbladder wall at the fundal area. This was cause for his symptoms. The patient underwent a successful laparoscopic cholecystectomy. Intraoperative frozen section of the specimen was obtained which ruled out any evidence of gallbladder cancer. All this was performed via a Minimally Invasive Advanced Surgery technique. The size of the incision 4mm in size at the umbilical area which minimal scar. The patient recovered extremely well and remained with significant low pain and was discharged home the next day.
Adenomyosis is a benign condition. The patients are usually asymptomatic. Some present with complains of upper abdominal pain which is similar to gallstone disease. The disease is characterized by hypertrophy of the mucosal epithelium. There are three forms 1. Segmental 2. Fundal 3. Diffuse. It is prevalent in 1-9 percent of gallbladder specimens. Our case report is presented with symptoms related to the adenomyosis.