MULTISEPTATE GALLBLADDER - BILIARY MANOMETRY AND SCINTIGRAPHY

A 30-year-old man with multiseptate gallbladder, a very rare congenita l anomaly, is presented. His presenting symptom was epigastric pain. A hypoplastic gallbladder with multiple septa was demonstrated by ultra sonography and endoscopic retrograde cholangiography. An injection of cerulein reproduced pain, and simultaneous biliary manometry and scint igraphy showed impairment of gallbladder filling and emptying. Laparos copic cholecystectomy resulted in complete relief of the pain. Biliary manometry and scintigraphy are useful to determine the operative indi cation in a symptomatic patient with this entity.