The American Journal of Digestive Diseases

, Volume 6, Issue 10, pp 938–953 | Cite as

Congenital and acquired changes in gallbladder form

  • E. Kaiser
Article
  • 16 Downloads

Summary

Apart from the gallbladder diseases caused by inflammation and stone formation, there are also less frequently occurring congential and acquired changes in the form of the gallbladder, the clinical importance of which is still controversial.

The congenital changes of form are: the pendulous gallbladder, syphonopathy, Phrygian cap, hour-glass gallbladder, diverticula, septa, and dilated Luschka ducts. The acquired changes are: the adenomyofibromatosis of the collum-cysticus segment, the controversial sclerosis of the collum-cysticus sphincter, and the frequent strawberry gallbladder.

The main thesis of this paper is that the changed form of these gallbladders does not necessarily explain their pathological significance. Only with the critical analysis of the case history, including cholecystography of the filling and evacuation phase, is it possible to determine whether the abnormalities are of pathological importance or not.

When stasis is the result of the altered form of the gallbladder it may in turn lead to stone formation and inflammation. The latter two then cause the first discomfort of the patient.

Keywords

Public Health Critical Analysis Clinical Importance Case History Stone Formation 

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References

  1. 1.
    Sotgiu, G., andLabò, G. Il problema delle cholecistiti chroniche alitiasiche.Minerva gastroenterol. 5:1, 1959.PubMedGoogle Scholar
  2. 2.
    Dupuy, R., andChampeau, M. Les dyskinésies mécaniques et les métaplasies de la vésicule biliaire.Voies biliaires 154:170, 1952.Google Scholar
  3. 3.
    Albot, Guy. Les variétés étiologiques des dyskinésies cystiques.Voies biliaires 55:65, 1952.Google Scholar
  4. 4.
    Caroli, J. Maladies des voies biliaires. Flammarion, Paris, 1951.Google Scholar
  5. 5.
    Albot, G., andBonnet, G.-F. Vésicule biliaire et hormones génitales.Rev. Internat. Hepatologie 9:4, 1959.Google Scholar
  6. 6.
    Schmieden, V., andRohde, G. Arch. klin. Chir. 118:1726, 1926.Google Scholar
  7. 7.
    Berg, H. H. Deutsche med. Wchnschr. 525: 1955.Google Scholar
  8. 8.
    Mallet-Guy, P. Presse méd. 58:1093, 1950.Google Scholar
  9. 9.
    Bockus, H. L. Gastroenterology, Saunders, Philadelphia, 1946.Google Scholar
  10. 10.
    Chiray, M. Les voies biliaires, Masson, Paris, 1952.Google Scholar
  11. 11.
    Naunyn, B. Mitt. Grenzgeb. 33:579, 1921Google Scholar
  12. 12.
    Aschoff, L., andBacmeister, K. Die Cholelithiasis, Fischer, Jena, 1909.Google Scholar
  13. 13.
    Olivier, C., andLibaude, H. Les voies biliaires. Masson, Paris, 1953.Google Scholar

Copyright information

© Paul B. Hoeber, Inc. 1961

Authors and Affiliations

  • E. Kaiser
    • 1
  1. 1.From the Department of SurgeryStadtspital WaidZürichSwitzerland

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