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December 1966

Multiseptate Gallbladder: A Cause of Recurrent Abdominal Pain in Childhood

Author Affiliations

From the departments of pediatrics (Dr. Haslam), radiology (Dr. Gayler), and surgery (Dr. Ebert), The Johns Hopkins University School of Medicine, Baltimore. Dr. Ebert is now assistant professor of surgery, Duke University, Durham, NC.

Am J Dis Child. 1966;112(6):600-603. doi:10.1001/archpedi.1966.02090150144021

CHRONIC abdominal pain is a difficult diagnostic dilemma, particularly in children. In attacking this problem, the pediatrician often concentrates on the gastrointestinal or genitourinary tract as a source of the pain.1 Too little attention is paid to the gallbladder as the cause of pain in this age group.2,3 Standard general pediatric textbooks do not include gallbladder disease as a cause of either acute or chronic abdominal pain in children.4,5

The following report describes a rare condition, multiseptate gallbladder, as a cause of chronic abdominal pain. Prior to this time there have been only two cases reported in the literature, both were in adults. Gross's comprehensive review of congenital gallbladder anomalies does not include this entity.6

Report of a Case  A 15½-year-old Negro girl complained of intermittent pain in the right upper quadrant for at least four years. In retrospect, the pain may have been present most

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