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Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder
BACKGROUND: Double gallbladder is a rare biliary anomaly. Perinatal diagnosis of the disorder has been reported in only 6 cases, and in 5 of them the diagnosis was based on ultrasound imaging only. However, the ultrasound technique alone does not provide a sufficiently precise description of cystic...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803916/ https://www.ncbi.nlm.nih.gov/pubmed/29415686 http://dx.doi.org/10.1186/s12887-018-1043-9 |
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author | Maggi, Umberto Farris, Giorgio Carnevali, Alessandra Borzani, Irene Clerici, Paola Agosti, Massimo Rossi, Giorgio Leva, Ernesto |
author_facet | Maggi, Umberto Farris, Giorgio Carnevali, Alessandra Borzani, Irene Clerici, Paola Agosti, Massimo Rossi, Giorgio Leva, Ernesto |
author_sort | Maggi, Umberto |
collection | PubMed |
description | BACKGROUND: Double gallbladder is a rare biliary anomaly. Perinatal diagnosis of the disorder has been reported in only 6 cases, and in 5 of them the diagnosis was based on ultrasound imaging only. However, the ultrasound technique alone does not provide a sufficiently precise description of cystic ducts and biliary anatomy, an information that is crucial for a correct classification and for a possible future surgery. CASE PRESENTATION: At 21 weeks of gestational age of an uneventful pregnancy in a 38 year old primipara mother, a routine ultrasound screening detected a biliary anomaly in the fetus suggestive of a double gallbladder. A neonatal abdominal ultrasonography performed on postnatal day 2 confirmed the diagnosis. On day 12 the newborn underwent a Magnetic Resonance Cholangiopancreatography (MRCP) that clearly characterized the anatomy of the anomaly: both gallbladders had their own cystic duct and both had a separate insertion in the main biliary duct. CONCLUSIONS: We report a case of early prenatal suspected duplicate gallbladder that was confirmed by a neonatal precise diagnosis of a Type 2, H or ductular duplicate gallbladder, using for the first time 3D images of Magnetic resonance cholangiopancreatography in a newborn. An accurate anatomical diagnosis is mandatory in patients undergoing a possible future cholecystectomy, to avoid surgical complications or reoperations. Therefore, in case of a perinatal suspicion of a double gallbladder, neonates should undergo a Magnetic resonance cholangiopancreatography. A review of the Literature about this variant is included. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12887-018-1043-9) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5803916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58039162018-02-14 Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder Maggi, Umberto Farris, Giorgio Carnevali, Alessandra Borzani, Irene Clerici, Paola Agosti, Massimo Rossi, Giorgio Leva, Ernesto BMC Pediatr Case Report BACKGROUND: Double gallbladder is a rare biliary anomaly. Perinatal diagnosis of the disorder has been reported in only 6 cases, and in 5 of them the diagnosis was based on ultrasound imaging only. However, the ultrasound technique alone does not provide a sufficiently precise description of cystic ducts and biliary anatomy, an information that is crucial for a correct classification and for a possible future surgery. CASE PRESENTATION: At 21 weeks of gestational age of an uneventful pregnancy in a 38 year old primipara mother, a routine ultrasound screening detected a biliary anomaly in the fetus suggestive of a double gallbladder. A neonatal abdominal ultrasonography performed on postnatal day 2 confirmed the diagnosis. On day 12 the newborn underwent a Magnetic Resonance Cholangiopancreatography (MRCP) that clearly characterized the anatomy of the anomaly: both gallbladders had their own cystic duct and both had a separate insertion in the main biliary duct. CONCLUSIONS: We report a case of early prenatal suspected duplicate gallbladder that was confirmed by a neonatal precise diagnosis of a Type 2, H or ductular duplicate gallbladder, using for the first time 3D images of Magnetic resonance cholangiopancreatography in a newborn. An accurate anatomical diagnosis is mandatory in patients undergoing a possible future cholecystectomy, to avoid surgical complications or reoperations. Therefore, in case of a perinatal suspicion of a double gallbladder, neonates should undergo a Magnetic resonance cholangiopancreatography. A review of the Literature about this variant is included. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12887-018-1043-9) contains supplementary material, which is available to authorized users. BioMed Central 2018-02-07 /pmc/articles/PMC5803916/ /pubmed/29415686 http://dx.doi.org/10.1186/s12887-018-1043-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Maggi, Umberto Farris, Giorgio Carnevali, Alessandra Borzani, Irene Clerici, Paola Agosti, Massimo Rossi, Giorgio Leva, Ernesto Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder |
title | Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder |
title_full | Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder |
title_fullStr | Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder |
title_full_unstemmed | Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder |
title_short | Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder |
title_sort | prenatal and accurate perinatal diagnosis of type 2 h or ductular duplicate gallbladder |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803916/ https://www.ncbi.nlm.nih.gov/pubmed/29415686 http://dx.doi.org/10.1186/s12887-018-1043-9 |
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