Mucocoele of the Gallbladder.
I thought I would put this up just to kindle your tummy, sorry, your interest.
This is a lady who presented with recurrent right sided upper abdominal pain. It was getting more frequent and was increasing in intensity. She was admitted three times for the pain which spontaneously resolved with analgesics. Her ultrasound just reported as gallstones present.
We operated on her and this is what we found.
Single stone impacted at the neck of the gallbladder. Mucous like fluid within the gallbladder with multiple small black pigment stones within it. There is evidence of chronicity with central fibrosis causing the gallbladder to have an contracted hour-glass shape and also the thickened wall.
A mucocoele is a mucus-filled gallbladder, which arises when the neck of the gallbladder becomes obstructed, normally by impaction of a stone. The bile is absorbed and replaced by mucus secreted by the gallbladder inner wall.
Management : Surgery to remove the gallbladder - Cholecystectomy
May 21st, 2007 at 6:20 pm
Was this a lap chole or an open? If lap, how did you get the gall bladder, which must have been distended, out intact?
May 22nd, 2007 at 10:14 am
Surprisingly it wasn’t that distended because maybe of the thickened gallbladder wall. Laparoscopically, one can remove a distended gallbladder (if difficult) by aspirating the fluid within the gallbladder first before removal.
May 22nd, 2007 at 12:41 pm
Is it a gall bladder so big in size.Learning something new.
May 29th, 2007 at 3:31 pm
Eww ..looks like freshly cut sea cucumber stomach! The gallbladder looks thick compared with what Bernard shown in his blog.
May 30th, 2007 at 6:41 pm
the thickness just emphasize the chronicity!