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Segmental Adenomyomatosis of Gallbladder: CT Assessment of the Patterns of Cholecystolithiasis

Other Titles
 담낭의 분절형 선근종증: 담낭결석증 패턴의 CT를 이용한 평가 
Authors
 Yeon Hwa Yoo  ;  Jeong-Sik Yu  ;  Jae-Joon Chung  ;  Joo Hee Kim  ;  Eun-Suk Cho  ;  Dae Jung Kim  ;  Jhii-Hyun Ahn  ;  Ki Whang Kim 
Citation
 Journal of the Korean Society of Radiology, Vol.64(3) : 253-259, 2011 
Journal Title
Journal of the Korean Society of Radiology(대한영상의학회지)
ISSN
 1738-2637 
Issue Date
2011
Keywords
Adenomyoma ; Gallbladder ; Cholecystolithiasis ; Cholecystitis ; Tomography ; X-Ray Computed
Abstract
PURPOSE: To clarify the relationship between the pattern of cholecystolithiasis and the gross features of segmental adenomyomatosis of the gallbladder. MATERIALS AND METHODS: Fifty-five consecutive patients with segmental adenomyomatosis with calcified gallbladder stones defined on CT were retrospectively analyzed in terms of (i) stone location (fundal vs. neck compartment) and (ii) size of the largest stone as a function of the extent of segmental mural thickening (type A, limited at the narrow segment; type B, partially extended in the fundal direction; type C, involving the entire fundal compartment). The extent of segmental mural thickening in patients with cholecystolithiasis was compared with a control group (n = 48) lacking stones. RESULTS: Stones were found more frequently in the fundal compartment in 48 patients compared to the neck compartment in 12 patients (p<0.001). The mean size of the largest stone in type C (5.4 +/- 4.9 mm) was larger than in type A (2.3 +/- 2.2 mm) (p=0.033). In patients with cholecystolithiasis, type C segmental thickening was predominant (69%) compared to the control group (42%) (p=0.012). CONCLUSION: In addition to a higher prevalence of stones, a wide extent of mural thickening combined with large stone size in the fundal compartment suggests the contribution of segmental adenomyomatosis to stone formation and chronic inflammation
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Kim, Dae Jung(김대중)
Kim, Joo Hee(김주희) ORCID logo https://orcid.org/0000-0001-5383-3602
Ahn, Jhii Hyun(안지현)
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Chung, Jae Joon(정재준) ORCID logo https://orcid.org/0000-0002-7447-1193
Cho, Eun Suk(조은석)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93555
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