Discussion A Phrygian cap deformity of the gallbladder can occur in about 4% of the patients and is essentially the appearance that is created due to the folding of the fundus of the gallbladder on its body. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. Preferred mode of diagnosis for Phrygian cap is … Interestingly, the terminology is coined from the resemblance of the gallbladder 'cap' deformity to a style of pointed hat seen in ancient Greek art.
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. When multiphase CT/MRI are inconclusive, cholescintigraphy may be critical in preventing an unnecessary cholecystectomy. It denotes folding of the fundus back upon the gallbladder body and is asymptomatic with no pathological significance. A Phrygian cap may be identified on ultrasound, multiphase CT/MRI or May be wrongly interpreted as a septum in an otherwise normal gallbladder.Usually clearly differentiate Phrygian caps from mass lesions. The Phrygian cap is a conical cap or cap with a curved or anteriorly inclined top that was worn by the ancient Phrygians; it is called the "cap of freedom" (Oxford Dictionary of English). on B-mode ultrasonography.
Cholecystectomy must be performed only when the deformed gallbladder causes symptoms like right upper quadrant abdominal pain … It was worn by King Midas who was cursed with donkey ears by Apollo. Phrygian caps are the most common congenital anatomic variant of the gallbladder. (Ober WB, Wharton RN On the “phrygian cap.” 255:571-572 New England Journal of Medicine 1956The cap was a symbol of freedom and the pursuit of liberty.The cap was worn by King Midas who was cursed with donkey ears by Apollo. It was subsequently worn by the Trojan hero Paris, was a symbol of freedom in the French and American revolutions, was depicted on coinage in the US and on variety of seals and flags throughout the world.The cap was a symbol of freedom and the pursuit of liberty. The size of the fold and the cap is quite variable.82407b14.8s gallbladder Phrygian cap freedom liberty shape symbol Davidoff art Copyright 200804487.84s.8s gallbladder fundus fundal fold fold normal variant anatomy shape cystic duct phrygian cap Davidoff art copyright 200839696 39696b Courtesy Ashley Davidoff MD gallbladder normal anatomy shape phrygian cap45217 gallbladder shape phrygian cap normal anatomy shape USscan Courtesy Ashley Davidoff MD82028c.8s gallbladder shape Phrygian cap normal variant anatomy MRI T1 weighted image T2 weighted image out of phase Courtesy Ashley DAvidoff MD copyright 200804766b05b10.2k.8s gallbladder parts fundus = dark green body = green neck = light green normal anatomy Davidoff Art Copyright 200818260.8s gallbladder shape phrygian cap distended enlarged courtesy Ashley Davidoff MD copyright 200804487.8s gallbladder fundus fold normal variant anatomy shape OCG Courtesy Ashley DAvidoff MD copyright 2008 Gall bladder with Phrygian cap deformity can lead to misdiagnosis of gall bladder stones or a mass in the liver during hepatobiliary imaging which may suggest a tumour.
(2). Delayed imaging demonstrates filling of the gallbladder ruling out an underlying mass lesion. Spech et al. A Phrygian cap gallbladder is a common congenital abnormality of the gallbladder, found in 2–6% of people in autopsies. The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC.
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phrygian cap gallbladder symptoms