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Case Reports
. 2019 Jun 19:2019:6737428.
doi: 10.1155/2019/6737428. eCollection 2019.

Microgallbladder: Self-Remitting Acute Cholecystitis-Like Condition Unique to Patients with Cystic Fibrosis

Mina S Mousa  1 , John C Feldman  1 , Paresh Mahajan  1
Affiliations
Case Reports

Microgallbladder: Self-Remitting Acute Cholecystitis-Like Condition Unique to Patients with Cystic Fibrosis

Mina S Mousa et al. Case Rep Radiol. .

Abstract

Microgallbladder is a nonsurgical medical condition characterized by chronic inflammation and atrophy of the gallbladder, which is considered a highly specific imaging finding unique to patients with cystic fibrosis (CF), and has been incidentally reported on abdominal imaging in up to 45% of cases with CF. The impairment of exocrine water efflux in CF leads to the production of hyperviscous biliary secretions, cholestasis, and transient cystic duct obstruction of the microgallbladder causing microcholecystitis-interestingly a self-remitting acute cholecystitis-like condition without surgical intervention. We present a case report of a 22-year-old male patient with history of CF with multiple hospital admissions for unexplained chronic abdominal pain found to be caused by microgallbladder, which was managed conservatively.

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22-year-old male with history of CF presents with recurrent bouts of sharp RUQ abdominal pain. Findings: hepatobiliary scintigraphy HIDA scan demonstrating bowel activity (blue arrow) at 6 minutes and gallbladder activity (yellow arrow) at 26 minutes from the time of tracer intravenous injection of 3.3 mCi of Technetium 99m Choletec.
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Figure 4
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