Septate gallbladder necrosis: A case report

Abstract Introduction: The septate gallbladder is a rare abnormality with either multiple septums or a single septum. In our case, a 32-year-old male patient was admitted to the hospital for right upper quadrant abdominal pain accompanied by fever. Abdominal CT scan show acute cholecystitis, no gallstones. Preoperative diagnosis: Acute cholecystitis suspected peritoneal biliary infiltration, indicated for emergency laparoscopic cholecystectomy. Intraoperative, the septate gallbladder is enlarged, the wall is thick, and the duodenum is attached. In particular, the fundus compartment of the gallbladder showed necrosis. There were no complications during surgery. Conclusions: The septate gallbladder can cause complications of gallstones, cholecystitis and especially gallbladder necrosis as in our case. Ultrasonography can detect this abnormality, so careful examination is necessary to avoid omission, especially in the case of patients with recurrent right upper quadrant pain but no gallstones. Keywords: The septate gallbladder, gallbladder necrosis, cholecystitis.