Ahmet Fikret YÜCEL, AHMET PERGEL, İbrahim AYDIN, Doğan YILDIRIM, Murat MOUNLA, Nilgün DEMİRBAĞ, Dursun Ali ŞAHİN

Safra kesesinin nadir bir polipoid lezyonu: Adenomyomatozis

ÖZET Adenomyomatozis, safra kesesi duvarının etyolojisi bilinmeyen benign hiperplastik hastalığıdır. Rokitansky-Aschoff sinüsü ile karakterize olan bu hastalık safra kesesinin incelmiş kas tabakasından epitelin lokal ya da diffüz olarak invaginasyonu ile oluşur. Bazı vakalar malign tümörlere benzemekle birlikte, ultrasonografik inceleme sırasında ayırıcı tanıda adenomyomatozis akla gelmelidir. Epigastrik ağrı ve dispeptik yakınmaları olan 50 yaşındaki kadın hastanın yapılan batın ultrasonografisinde safra kesesinde polip saptandı. Laparoskopik kolesistektomi uygulandı. Histopatolojik inceleme sonucu safra kesesi adenomyomu tanısı kondu. Olgumuzu safra kesesi polipleri ile alakalı kısa literatür bilgisi vererek sunmayı amaçladık.

A rare polypoid lesion of the gallbladder: Adenomyomatosis

Adenomyomatosis of the gallbladder is a condition of benign hyperplasia of unknown etiology, characterised by local or diffuse thickening of the muscular layer, with invagination of the epithelium, forming Rokitansky-Aschoff sinuses. In some cases it looks like a malignant tumor. The diagnosis can be suspected during ultrasound examination. Gall bladder polyp was detected in the abdominal ultrasonography of a 50-year-old female patient with epigastric pain and dyspeptic complaints. Laparoscopic cholecystectomy was carried out and gall bladder adenoma was diagnosed according to histopathological examination. We aimed to present our case with brief relevant literature information.

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