Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis

Ahmet Fikret Yücel; Ahmet Pergel; İbrahim Aydın; Doğan Yıldırım; Murat Mounla; Nilgün Demirbağ; Dursun Ali Şahin

A Rare Polypoid Lesion of The Gallbladder: Adenomyomatosis

Year 2011, Volume: 16 Issue: 2, 94 - 96, 01.04.2011

Ahmet Fikret Yücel Ahmet Pergel İbrahim Aydın Doğan Yıldırım Murat Mounla Nilgün Demirbağ Dursun Ali Şahin

Abstract

Adenomyomatosis of the gallbladder is a condition of benign hyperplasia of unknown etiology, characterised by local or diffuse thickening of the muscular layer, with invagination of the epithelium, forming Rokitansky-Aschoff sinuses. In some cases it looks like a malignant tumor. The diagnosis can be suspected during ultrasound examination. Gall bladder polyp was detected in the abdominal ultrasonography of a 50-year-old female patient with epigastric pain and dyspeptic complaints. Laparoscopic cholecystectomy was carried out and gall bladder adenoma was diagnosed according to histopathological examination. We aimed to present our case with brief relevant literature information.

Keywords

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References

1. Williams I, Slavin G, Cox A, Simpson P, de Lacey G. Diverticular disease (adenomyomatosis) of the gallbladder: a radiologicalpathological survey. Br J Radiol 1986; 59: 29-34.
2. Nishimura A, Shirai Y, Hatakeyama K: Segmental adenomyomatosis of the gallbladder predisposes to cholecystolithiasis. J Hepatobiliary Pancreat Surg 2004; 11: 342-347.
3. Yoshimitsu K, Honda H, Jime M, et al. MR diagnosis of adenomyomatosis of the gallbladder and differentiation from gallbladder carcinoma: importance of showing RokitanskyAschoff sinuses. Am J Roentgenol 1999; 172: 1535-1540.
4. Nabatame N, Shirai Y, Nishimura A, Yokoyama N, Wakai T, Hatakeyama K. High risk of gallbladder carcinoma in elderly patients with segmental adenomyomatosis of the gallbladder. J Exp Clin Cancer Res 2004; 23: 593-598.
5. Aldouri AQ, Malik HZ, Waytt J, et al. The risk of gallbladder cancer from polyps in a large multiethnic series. Eur J Surg Oncol 2009; 35: 48-51.
6. Lee KF, Wong J, Li JC, Lai PB. Polypoid lesions of the gallbladder. Am J Surg 2004; 188: 186–190.
7. Yeh CN, Jan YY, Chao TC, Chen MF. Laparoscopic cholecystectomy or polypoid lesions of the gallbladder: a clinicopathologic study. Surg Laparosc Endosc Percutan Tech 2001; 11: 176 –181.
8. Csendes A, Burgos AM, Csendes P, Smok G, Rojas J. Late follow-up of polypoid lesions of the gallbladder smaller than 10 mm. Ann Surg 2001; 234: 657–660.
9. Kimura K, Fujita N, Noda Y, Kobayashi G, Ito K. Differential diagnosis of large-sized pedunculated polypoid lesions of the gallbladder by endoscopic ultrasonography: a prospective study. J Gastroenterol 2001; 36: 648 –649.
10. Sadamoto Y, Oda S, Tanaka M, et al. A useful approach to the differential diagnosis of small polypoid lesions of the gallbladder, utilizing an endoscopic ultrasound scoring system. Endoscopy 2002; 34: 959–965.
11. Cheon YK, Cho WY, Lee TH et al. Endoscopic ultrasonography does not differentiate neoplastic from nonneoplastic small gallbladder polyps. World J Gastroenterol 2009; 15: 2361-2366.
12. Terzi C, Sokmen S, Seckin S, Albayrak L, Uğurlu M. Polypoid lesions of the gallbladder: report of 100 cases with special reference to operative indications. Surgery 2000; 127: 622–627.
13. Kim EK, Lee SK, Kim WW. Does laparoscopic surgery have a role in the treatment of gallbladder cancer? J Hepatobil Pancreat Surg 2002; 9: 559–563.
14. Mainprize KS, Gould SW, Gilbert JM. Surgical management of polypoid lesions of the gallbladder. Br J Surg 2000; 87: 414–417.

Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis

Year 2011, Volume: 16 Issue: 2, 94 - 96, 01.04.2011

Ahmet Fikret Yücel Ahmet Pergel İbrahim Aydın Doğan Yıldırım Murat Mounla Nilgün Demirbağ Dursun Ali Şahin

Abstract

Adenomyomatozis, safra kesesi duvarının etyolojisi bilinmeyen benign hiperplastik hastalığıdır. Rokitansky-Aschoff sinüsü ile karakterize olan bu hastalık safra kesesinin incelmiş kas tabakasından epitelin lokal ya da diffüz olarak invaginasyonu ile oluşur. Bazı vakalar malign tümörlere benzemekle birlikte, ultrasonografik inceleme sırasında ayırıcı tanıda adenomyomatozis akla gelmelidir. Epigastrik ağrı ve dispeptik yakınmaları olan 50 yaşındaki kadın hastanın yapılan batın ultrasonografisinde safra kesesinde polip saptandı. Laparoskopik kolesistektomi uygulandı. Histopatolojik inceleme sonucu safra kesesi adenomyomu tanısı kondu. Olgumuzu safra kesesi polipleri ile alakalı kısa literatür bilgisi vererek sunmayı amaçladık.

Keywords

Safra kesesi, polip, adenomyomatozis

References

1. Williams I, Slavin G, Cox A, Simpson P, de Lacey G. Diverticular disease (adenomyomatosis) of the gallbladder: a radiologicalpathological survey. Br J Radiol 1986; 59: 29-34.
2. Nishimura A, Shirai Y, Hatakeyama K: Segmental adenomyomatosis of the gallbladder predisposes to cholecystolithiasis. J Hepatobiliary Pancreat Surg 2004; 11: 342-347.
3. Yoshimitsu K, Honda H, Jime M, et al. MR diagnosis of adenomyomatosis of the gallbladder and differentiation from gallbladder carcinoma: importance of showing RokitanskyAschoff sinuses. Am J Roentgenol 1999; 172: 1535-1540.
4. Nabatame N, Shirai Y, Nishimura A, Yokoyama N, Wakai T, Hatakeyama K. High risk of gallbladder carcinoma in elderly patients with segmental adenomyomatosis of the gallbladder. J Exp Clin Cancer Res 2004; 23: 593-598.
5. Aldouri AQ, Malik HZ, Waytt J, et al. The risk of gallbladder cancer from polyps in a large multiethnic series. Eur J Surg Oncol 2009; 35: 48-51.
6. Lee KF, Wong J, Li JC, Lai PB. Polypoid lesions of the gallbladder. Am J Surg 2004; 188: 186–190.
7. Yeh CN, Jan YY, Chao TC, Chen MF. Laparoscopic cholecystectomy or polypoid lesions of the gallbladder: a clinicopathologic study. Surg Laparosc Endosc Percutan Tech 2001; 11: 176 –181.
8. Csendes A, Burgos AM, Csendes P, Smok G, Rojas J. Late follow-up of polypoid lesions of the gallbladder smaller than 10 mm. Ann Surg 2001; 234: 657–660.
9. Kimura K, Fujita N, Noda Y, Kobayashi G, Ito K. Differential diagnosis of large-sized pedunculated polypoid lesions of the gallbladder by endoscopic ultrasonography: a prospective study. J Gastroenterol 2001; 36: 648 –649.
10. Sadamoto Y, Oda S, Tanaka M, et al. A useful approach to the differential diagnosis of small polypoid lesions of the gallbladder, utilizing an endoscopic ultrasound scoring system. Endoscopy 2002; 34: 959–965.
11. Cheon YK, Cho WY, Lee TH et al. Endoscopic ultrasonography does not differentiate neoplastic from nonneoplastic small gallbladder polyps. World J Gastroenterol 2009; 15: 2361-2366.
12. Terzi C, Sokmen S, Seckin S, Albayrak L, Uğurlu M. Polypoid lesions of the gallbladder: report of 100 cases with special reference to operative indications. Surgery 2000; 127: 622–627.
13. Kim EK, Lee SK, Kim WW. Does laparoscopic surgery have a role in the treatment of gallbladder cancer? J Hepatobil Pancreat Surg 2002; 9: 559–563.
14. Mainprize KS, Gould SW, Gilbert JM. Surgical management of polypoid lesions of the gallbladder. Br J Surg 2000; 87: 414–417.

There are 14 citations in total.

Details

Primary Language	Turkish
Journal Section	Articles
Authors	Ahmet Fikret Yücel This is me Ahmet Pergel This is me İbrahim Aydın This is me Doğan Yıldırım This is me Murat Mounla This is me Nilgün Demirbağ This is me Dursun Ali Şahin This is me
Publication Date	April 1, 2011
Published in Issue	Year 2011 Volume: 16 Issue: 2

Cite

APA	Yücel, A. F., Pergel, A., Aydın, İ., Yıldırım, D., et al. (2011). Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis. Fırat Tıp Dergisi, 16(2), 94-96.
AMA	Yücel AF, Pergel A, Aydın İ, Yıldırım D, Mounla M, Demirbağ N, Şahin DA. Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis. Fırat Tıp Dergisi. April 2011;16(2):94-96.
Chicago	Yücel, Ahmet Fikret, Ahmet Pergel, İbrahim Aydın, Doğan Yıldırım, Murat Mounla, Nilgün Demirbağ, and Dursun Ali Şahin. “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”. Fırat Tıp Dergisi 16, no. 2 (April 2011): 94-96.
EndNote	Yücel AF, Pergel A, Aydın İ, Yıldırım D, Mounla M, Demirbağ N, Şahin DA (April 1, 2011) Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis. Fırat Tıp Dergisi 16 2 94–96.
IEEE	A. F. Yücel, A. Pergel, İ. Aydın, D. Yıldırım, M. Mounla, N. Demirbağ, and D. A. Şahin, “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”, Fırat Tıp Dergisi, vol. 16, no. 2, pp. 94–96, 2011.
ISNAD	Yücel, Ahmet Fikret et al. “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”. Fırat Tıp Dergisi 16/2 (April 2011), 94-96.
JAMA	Yücel AF, Pergel A, Aydın İ, Yıldırım D, Mounla M, Demirbağ N, Şahin DA. Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis. Fırat Tıp Dergisi. 2011;16:94–96.
MLA	Yücel, Ahmet Fikret et al. “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”. Fırat Tıp Dergisi, vol. 16, no. 2, 2011, pp. 94-96.
Vancouver	Yücel AF, Pergel A, Aydın İ, Yıldırım D, Mounla M, Demirbağ N, Şahin DA. Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis. Fırat Tıp Dergisi. 2011;16(2):94-6.