A rare lesion of the gallbladder: pyloric gland adenoma
Faten Limaiem, Asma Sassi
The Pan African Medical Journal. 2018;29:106. doi:10.11604/pamj.2018.29.106.14797

Create an account  | Log in
AFENET CONF 2018 AFENET CONF 2018
"Better health through knowledge sharing and information dissemination "

Images in medicine

A rare lesion of the gallbladder: pyloric gland adenoma

Cite this: The Pan African Medical Journal. 2018;29:106. doi:10.11604/pamj.2018.29.106.14797

Received: 08/01/2018 - Accepted: 26/01/2018 - Published: 08/02/2018

Key words: Gallbladder, adenoma, surgery

© Faten Limaiem et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/29/106/full

Corresponding author: Faten Limaiem, University of Tunis El Manar, Tunis Faculty of Medicine, 1007, Tunis, Tunisia (fatenlimaiem@gmail.com)


A rare lesion of the gallbladder: pyloric gland adenoma

Faten Limaiem1,&, Asma Sassi1

 

1University of Tunis El Manar, Tunis Faculty of Medicine, 1007, Tunis, Tunisia

 

 

&Corresponding author
Faten Limaiem, University of Tunis El Manar, Tunis Faculty of Medicine, 1007, Tunis, Tunisia

 

 

Image in medicine    Down

Gallbladder adenomas are rare, but well-documented benign epithelial tumors. They are usually found incidentally in cholecystectomy specimens or during preoperative imaging studies. Although they are usually asymptomatic, they may present as a result of associated symptomatic gallstones, or from cystic duct obstruction due to large adenoma. Three subtypes of adenoma are defined: tubular, papillary and tubulopapillary and they are further classified histopathologically as pyloric gland, intestinal and biliary types. Most adenomas found in the gallbladder are pyloric gland type. A 52-year-old woman suffering from aspecific upper abdominal pain was admitted in the surgery department of our hospital. Physical examination did not reveal any abnormalities nor did routine blood testing. Abdominal ultrasonography showed a polypoid lesion in the gallbladder measuring 1.5cm long. Laparoscopy was performed showing normal anatomy of the gallbladder and surroundings. The gallbladder as well as the Mascagni lymph node were removed. Macroscopic examination of the gallbladder revealed a polypoid lesion in the gallbladder body measuring 1.5cm in diameter (A). On microscopy, the polypoid lesion was almost entirely made up of tightly packed pyloric type tubular glands with little intervening stroma (B). In the background gallbladder epithelium there were no abnormalities. Recovery after surgery was uneventful and the symptoms did not recur.

 

 

Figure 1: (A) macroscopic examination revealed a well-demarcated polypoid lesion in the gallbladder body measuring 1.5cm in diameter; (B) tightly packed pyloric type tubular glands, with little intervening stroma (hematoxylin and eosin, x 100)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 31 (September - December 2018)

Article tools

This article authors

On Pubmed
On Google Scholar

Navigate this article

Keywords

Gallbladder
Adenoma
Surgery

Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics
Next abstract

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved