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Choi, Park, and Eom: Cholelithiasis with Mucosal Dysplasia of the Gallbladder in a 2-year-old Child
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(Suppl 1): S58-S61.

Published online: 31 December 2010

DOI: https://doi.org/10.4174/jkss.2010.79.Suppl1.S58

Cholelithiasis with Mucosal Dysplasia of the Gallbladder in a 2-year-old Child

Kun Moo Choi, M.D., Ki Young Park, M.D.1, Dae Woon Eom, M.D.2

Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

1Department of Pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

2Department of Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Corresponding author (goodnews@gnah.co.kr)

Received 22 February 2010       Accepted 24 May 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Traditionally, it has been emphasized that hemolytic disease was the primary cause of gallstones (cholelithiasis) in most young patients. In recent years, gallstones and common bile duct calculi have been increasingly diagnosed in infants and children, unrelated to hemolytic diseases. On the matter, the World Health Organization (WHO) classified intraepithelial neoplasia (dysplasia) of gall bladder as one of the precursor lesions of invasive cancer. The following article describes the case of a 2-year-old girl who had a laparoscopic cholecystectomy due to cholelithiasis and the pathologic diagnosis was chronic cholecystitis with diffuse, mild mucosal dysplasia.

Keywords: Cholelithiasis, Mucosal dysplasia

Figures and Tables

Fig. 1
Abdominal ultrasound showed prominent intrahepatic duct (IHD) and common bile duct (CHD) dilatation (A) and two small stones in the far distal common bile duct (d-CBD), near the ampulla of Vater (AoV) (B).
jkss-79-S58-g001
Fig. 2
Magnetic resonance cholangiopancreatogram (MRCP) showed markedly decompressed duct dilatation and swollen ampulla of Vater (AoV) without stones.
jkss-79-S58-g002
Fig. 3
Three 5 mm ports were used for laparoscopic cholecystectomy. The 5 mm umbilical port was for a 0-degree forward-viewing telescope connected to the camera.
jkss-79-S58-g003
Fig. 4
The mucosa of the gallbladder is diffusely lined by uniform pseudostratified columnar epithelial cells with papillary structure (H&E stain, ×200).
jkss-79-S58-g004

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