A case of functional gallbladder disorder with concomitant exacerbations of PBC diagnosed by cholescintigraphy

A 48-year-old woman with a chief complaint of postprandial epigastralgia was referred to our hospital. She had been diagnosed with primary biliary cholangitis (PBC) at age 37. We suspected organic common bile duct obstruction by gallstones because of being elevated hepatobiliary enzymes. No abnormal...

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Published inTando Vol. 37; no. 4; pp. 803 - 810
Main Authors Yamazaki, Yoshito, Noguchi, Masaaki, Miyashita, Haruna, Akita, Yoshihiro, Nakano, Masanori, Saruta, Masayuki
Format Journal Article
LanguageJapanese
Published Japan Biliary Association 31.10.2023
Subjects
cholescintigraphy
gallbladder disorder
primary biliary cholangitis
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Summary:A 48-year-old woman with a chief complaint of postprandial epigastralgia was referred to our hospital. She had been diagnosed with primary biliary cholangitis (PBC) at age 37. We suspected organic common bile duct obstruction by gallstones because of being elevated hepatobiliary enzymes. No abnormalities were found in the computed tomography (CT), magnetic resonance cholangiopancreatography, abdominal ultrasonography, esophagogastroduodenoscopy, and endoscopic ultrasonography. Gallstones and sludge were absent in the gallbladder and biliary tract. The cholescintigraphy showed decreased gallbladder ejection and delayed excretion of drugs from the liver. We concluded functional gallbladder disorder with intrahepatic cholestasis due to PBC. To the best of our knowledge, this is the first report of functional gallbladder disorder with concomitant exacerbations of PBC diagnosed by cholescintigraphy.
ISSN:0914-0077
1883-6879
DOI:10.11210/tando.37.803