A case of Adenomyoma of the gallbladder (fundal type) with gastric polyps is reported. Case, 61 year-old female was admitted to Akita University Hospital because of precise examination of gastric polyp, which was detected in the mass survey of the stomach. Gastric polyps were located on the anterior wall of the antrum. Biopsy specimens under direct vision showed the hyperplastic polyp. Cholecystography demonstrated a minute filling defect on the fundus of the gallbladder. A nodular lesion without central ulceration on the fundus of the gallbladder and Gastric polyps were found in the excised specimen. Histologically, irregular tubular formation of mucosa and hyperplasia of muscular fibers were observed. There were many terminologies and classifications for non-inflammatory lesions of the gallbladder. But, adenomyoma of the gallbladder is a comparative rare lesion and previously reported literatures are reviewed.
Multiseptate gallbladder is an extremely rare congenital anomaly, the number of reported cases not having exceeded ten throughout the world. This is the account of a 37 year old man with this condition who had had a long history of occasional nausea, vomit and abdominal pain. Intravenous cholecystography demonstrated a gallbladder with an irregularly outline, and tomography disclosed thin septa inside. The surgically removed gallbladder looked like a honeycomb on the cut surface. The bile was whitish in the fundus and dark brown in the neck, suggesting disturbed bladder function. Histologically, muscular layers in the partitions were continuous from the gallbladdeer wall. He has been free of the past complaints after surgery which were attributable to dyskinesia of the gallbladder.