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Case of the Month

By Dr Ho Chee Keong, MBBS (Mal), M.Med (Radiology) [UKM], AM (Mal)

Answer to Case Of the Month 

The diagnosis is adenomyomatosis of the gallbladder.

Adenomyomatosis
The Oral Cholecystogram showed Rokitansky-Aschoff sinuses, which is pathognomonic of adenomyomatosis.

Adenomyomatosis is a form of hyperplastic cholecystoses. It is characterised by mucosal hyperplasia and thickening of the muscular layer of the gallbladder. Herniations of the mucosa into muscular layer are called Rokitansky-Aschoff sinuses. Deposition of cholesterol crystals in these sinuses give rise to the comet-tail artifacts seen on Ultrasound. Adenomyomatosis occurs equally in both men and women.
 
About the Author 

Dr Ho Chee Keong is currently attached to the Lam Wah Ee Hospital, Penang as a Radiologist. If you have any comments on this case report, please complete the form below:

 

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