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A Phrygian Cap
A Phrygian cap is a congenital anomaly of the gallbladder with an incidence of 4%. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. A Phrygian cap, however, has no pathological significance and normally causes no symptoms. A case will be prese...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764950/ https://www.ncbi.nlm.nih.gov/pubmed/24019768 http://dx.doi.org/10.1159/000354789 |
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author | van Kamp, Marie-Janne S. Bouman, Donald E. Steenvoorde, Pascal Klaase, Joost M. |
author_facet | van Kamp, Marie-Janne S. Bouman, Donald E. Steenvoorde, Pascal Klaase, Joost M. |
author_sort | van Kamp, Marie-Janne S. |
collection | PubMed |
description | A Phrygian cap is a congenital anomaly of the gallbladder with an incidence of 4%. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. A Phrygian cap, however, has no pathological significance and normally causes no symptoms. A case will be presented where a Phrygian cap was found by coincidence during surgery. The patient was operated for colon cancer with liver metastasis in segment V. He underwent a simultaneous right hemicolectomy and wedge resection of the liver lesion. During perioperative inspection, a gallbladder with a folded fundus was seen. This deformity was, in retrospective, detected on the preoperative MRI scan. The patient underwent cholecystectomy to make the wedge resection easier to perform. Otherwise, cholecystectomy for a Phrygian cap is only indicated in case of symptoms. Radiographic imaging can be helpful in narrowing the differential diagnosis. To our knowledge, there is no recent literature about the Phrygian cap and its imaging aspects. Nowadays, multiphase MRI, or multiphase CT in case of MRI contraindication, are the first choices of hepatobiliary imaging. |
format | Online Article Text |
id | pubmed-3764950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-37649502013-09-09 A Phrygian Cap van Kamp, Marie-Janne S. Bouman, Donald E. Steenvoorde, Pascal Klaase, Joost M. Case Rep Gastroenterol Published online: August, 2013 A Phrygian cap is a congenital anomaly of the gallbladder with an incidence of 4%. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. A Phrygian cap, however, has no pathological significance and normally causes no symptoms. A case will be presented where a Phrygian cap was found by coincidence during surgery. The patient was operated for colon cancer with liver metastasis in segment V. He underwent a simultaneous right hemicolectomy and wedge resection of the liver lesion. During perioperative inspection, a gallbladder with a folded fundus was seen. This deformity was, in retrospective, detected on the preoperative MRI scan. The patient underwent cholecystectomy to make the wedge resection easier to perform. Otherwise, cholecystectomy for a Phrygian cap is only indicated in case of symptoms. Radiographic imaging can be helpful in narrowing the differential diagnosis. To our knowledge, there is no recent literature about the Phrygian cap and its imaging aspects. Nowadays, multiphase MRI, or multiphase CT in case of MRI contraindication, are the first choices of hepatobiliary imaging. S. Karger AG 2013-08-17 /pmc/articles/PMC3764950/ /pubmed/24019768 http://dx.doi.org/10.1159/000354789 Text en Copyright © 2013 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published online: August, 2013 van Kamp, Marie-Janne S. Bouman, Donald E. Steenvoorde, Pascal Klaase, Joost M. A Phrygian Cap |
title | A Phrygian Cap |
title_full | A Phrygian Cap |
title_fullStr | A Phrygian Cap |
title_full_unstemmed | A Phrygian Cap |
title_short | A Phrygian Cap |
title_sort | phrygian cap |
topic | Published online: August, 2013 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764950/ https://www.ncbi.nlm.nih.gov/pubmed/24019768 http://dx.doi.org/10.1159/000354789 |
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