Friday, July 14, 2023

A wierd S shaped gallbladder

 young adult female patient with an incidental finding, an S shaped gallbladder:

* The gallbladder is abnormally S shaped, with a curved or serpentine appearance.
* The gallbladder wall is normal in thickness.
* There are no gallstones or other abnormalities within the gallbladder.

The significance of an S-shaped gallbladder is that it is a benign condition that does not usually cause any symptoms. However, it can be a sign of other gallbladder problems, such as gallstones or cholecystitis. In the absence of any other abnormalities, an S-shaped gallbladder does not require any treatment.

Here are some additional points about S-shaped gallbladders:

* They are more common in women than in men.
* They are often found incidentally during ultrasound imaging for other reasons.
* There is no known cause of S-shaped gallbladders.
* They are not associated with any increased risk of cancer.

Ultrasound Images shown below:
How to differentiate S shaped gallbladder from Phrygian cap gallbladder:

An S-shaped gallbladder is a congenital anomaly in which the gallbladder has a serpentine or wavy appearance. The folding of the gallbladder wall can occur anywhere along the length of the organ, but it is most common in the fundus. An S-shaped gallbladder is usually asymptomatic and does not require any treatment.

A Phrygian cap gallbladder is another congenital anomaly in which the fundus of the gallbladder folds back on itself. This creates a cap-like structure that resembles the Phrygian caps worn by ancient peoples in Anatolia. Phrygian caps are the most common congenital anomaly of the gallbladder, and they are usually asymptomatic.

The main difference between an S-shaped gallbladder and a Phrygian cap gallbladder is the location of the fold. In an S-shaped gallbladder, the fold can occur anywhere along the length of the gallbladder, while in a Phrygian cap gallbladder, the fold always occurs at the fundus.

Another difference between the two anomalies is their appearance on imaging studies. An S-shaped gallbladder may appear as a wavy or serpentine structure on ultrasound or CT scan. A Phrygian cap gallbladder, on the other hand, typically appears as a round or oval structure with a cap-like projection at the fundus.

Both S-shaped gallbladders and Phrygian cap gallbladders are benign anomalies that do not require any treatment. However, they can sometimes be mistaken for other, more serious conditions, such as gallbladder cancer.

Here is a table that summarizes the key differences between S-shaped gallbladders and Phrygian cap gallbladders:


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