Multiseptate gallbladder with cholelithiasis diagnosed incidentally in an elderly patient

A 70-year-old woman with rheumatoid arthritis was admitted to our hospital because of gastric ulcers, Abdominal echography incidentally revealed that the patient's gallbladder was multiseptate, an extremely rare anomaly. The diagnosis was confirmed by endoscopic retrograde cholangiography, This is t he 26th case of multiseptate gallbladder in the world literature, but the p atient is the oldest yet recorded with this condition. Furthermore, unlike most patients with multiseptate gallbladder, she had no biliary symptoms wi th concomitant cholelithiasis.