Adenomyomatosis of the Gallbladder in Childhood: Report of a Case and Review of the Literature

Author:

Zani Augusto1,Pacilli Maurizio1,Conforti Andrea1,Casati Alessandra1,Bosco Sandro2,Cozzi Denis Andrew1

Affiliation:

1. Pediatric Surgery Unit, University of Rome “La Sapienza”, Policlinico Umberto I, Viale Regina Elena, 324, 00161 Rome, Italy

2. Department of Experimental Medicine and Pathology, University of Rome “La Sapienza”, Policlinico Umberto I, Viale Regina Elena, 324, 00161 Rome, Italy

Abstract

Adenomyomatosis of the gallbladder is considered an acquired pathologic condition that affects adults, with only 2 cases previously described in childhood. We report on a 5-year-old boy with incidental detection of this lesion by ultrasonography. Pathologic and clinical assessments are discussed in addition to treatment decision-making, including current insights into the relation between adenomyomatosis and malignancy of the gallbladder. The liberal use of ultrasonography in children with abdominal pain may result in detection of an increasing number of asymptomatic patients. Care-givers should be aware of this condition and its therapeutic implications in the pediatric population.

Publisher

SAGE Publications

Subject

General Medicine,Pathology and Forensic Medicine,Pediatrics, Perinatology, and Child Health

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