Adenomyomatosis of the gallbladder is considered an acquired pathologic condition that affects adults, with only 2 cases previously described in childhood. We report on a 5-year-old boy with incidental detection of this lesion by ultrasonography. Pathologic and clinical assessments are discussed in addition to treatment decision-making, including current insights into the relation between adenomyomatosis and malignancy of the gallbladder. The liberal use of ultrasonography in children with abdominal pain may result in detection of an increasing number of asymptomatic patients. Care-givers should be aware of this condition and its therapeutic implications in the pediatric population.
RamMD, MidhaD.Adenomyomatosis of the gallbladder. Surgery1975;78:224–229.
3.
MeguidMM, AunF, BradfordML. Adenomyomatosis of the gallbladder. Am J Surg1984;147:260–262.
4.
OotaniT, ShiraiY, TsukadaK, MutoT.Relationship between gallbladder carcinoma and the segmental type of adenomyomatosis of the gallbladder. Cancer1992;69:2647–2652.
5.
AlbertiD, CalleaF, CamoniG, Adenomyomatosis of the gallbladder in childhood. J Ped Surg1998;33:1411–1412.
6.
CetinkursunS, SurerI, DeveciS, Adenomyomatosis of the gallbladder in a child. Dig Dis Sci2003;48:733–736.
7.
EsperE, KaufmanDB, CraryGS, Septate gallbladder with cholelithiasis: a cause of chronic abdominal pain in a 6-year-old child. J Pediatr Surg1992;27:1560–1562.
8.
NishimuraA, ShiraiY, Hatakeyama. Segmental adenomyomatosis of the gallbladder predisposes to cholecystolithiasis. J Hepatobiliary Pancreat Surg2004;11:342–347.
9.
AldridgeMC, GruffazF, CastaingD, BismuthH.Adenomyomatosis of the gallbladder. A premalignant lesion?Surgery1991;109:107–110.
10.
RaghavendraBN, SubramanyamBR, BalthazarEJ, Sonography of adenomyomatosis of the gallbladder: radiologic-pathologic correlation. Radiology1983;146:747–752.
11.
HwangJI, ChouYH, TsaySH, Radiologic and pathologic correlation of adenomyomatosis of the gallbladder. Abdom Imaging1998;23:73–77.
12.
YoshimitsuK, HondaH, JimiM, MR diagnosis of adenomyomatosis of the gallbladder and differentiation from gallbladder carcinoma: importance of showing Rokitansky-Aschoff sinuses. AJR1999;172:1535–1540.
13.
YoshimitsuK, HondaH, AibeH, Radiologic diagnosis of adenomyomatosis of the gallbladder: comparative study among MRI, helical CT, and transabdominal US. J Comput Assist Tomogr2001;25:843–850.
14.
YoshimitsuK, IrieH, AibeH, Well-differentiated adenocarcinoma of the gallbladder with intratumoral cystic components due to abundant mucin production: a mimicker of adenomyomatosis. Eur Radiol2005;15:229–233.
15.
WaldhausenJH, BenjaminDR. Cholecystectomy is becoming an increasingly common operation in children. Am J Surg1999;177:364–367.
