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A Rare Polypoid Lesion of The Gallbladder: Adenomyomatosis

Yıl 2011, Cilt: 16 Sayı: 2, 94 - 96, 01.04.2011

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

Öz

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.

Anahtar Kelimeler

-

Kaynakça

  • 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

Yıl 2011, Cilt: 16 Sayı: 2, 94 - 96, 01.04.2011

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

Öz

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.

Anahtar Kelimeler

Safra kesesi polip adenomyomatozis

Kaynakça

  • 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.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Ahmet Fikret Yücel Bu kişi benim

Ahmet Pergel Bu kişi benim

İbrahim Aydın Bu kişi benim

Doğan Yıldırım Bu kişi benim

Murat Mounla Bu kişi benim

Nilgün Demirbağ Bu kişi benim

Dursun Ali Şahin Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 16 Sayı: 2

Kaynak Göster

APA Yücel, A. F., Pergel, A., Aydın, İ., Yıldırım, D., vd. (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. Nisan 2011;16(2):94-96.
Chicago Yücel, Ahmet Fikret, Ahmet Pergel, İbrahim Aydın, Doğan Yıldırım, Murat Mounla, Nilgün Demirbağ, ve Dursun Ali Şahin. “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”. Fırat Tıp Dergisi 16, sy. 2 (Nisan 2011): 94-96.
EndNote Yücel AF, Pergel A, Aydın İ, Yıldırım D, Mounla M, Demirbağ N, Şahin DA (01 Nisan 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, ve D. A. Şahin, “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”, Fırat Tıp Dergisi, c. 16, sy. 2, ss. 94–96, 2011.
ISNAD Yücel, Ahmet Fikret vd. “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”. Fırat Tıp Dergisi 16/2 (Nisan 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 vd. “Safra Kesesinin Nadir Bir Polipoid Lezyonu: Adenomyomatozis”. Fırat Tıp Dergisi, c. 16, sy. 2, 2011, ss. 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.