";s:4:"text";s:4942:" The incidence of congenital bilobed gall bladder is 1 in 3000 to 4000. When multiphase CT/MRI are inconclusive, cholescintigraphy may be critical in preventing an unnecessary cholecystectomy. 1 It is when the fundus of the gallbladder folds on itself and thus looks notched, resembling the caps worn by the ancient Phrygians of Anatolia (modern-day Turkey), figure 5 or liberty caps of the French revolution, or Smurf caps (figure 6). Interestingly, the terminology is coined from the resemblance of the gallbladder 'cap' deformity to a style of pointed hat seen in ancient Greek art.
Phrygian caps are the most common congenital anatomic variant of the gallbladder. 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 Greeks knew of the cap as an Oriental headgear that was tight fitting and conical in shape and it has been depicted in their art. A Phrygian cap gallbladder is a common congenital abnormality of the gallbladder, found in 2–6% of people in autopsies. A Phrygian cap is a congenital anomaly of the gallbladder with an incidence of 4%. It was first described by Bartel in 1916. The phrygian cap is the most interesting shape of the galbladder with a fascinating cultural history. {"url":"/signup-modal-props.json?lang=us\u0026email="}
The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward. 4% of the population have a gallbladder fundus that is folded on the body of the gallbladder and was named a phrygian cap by Bartel in 1916. 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). (The phrygian cap is a common normal variant of gallbladder shape characterized a fundus that is folded forward.
The artistic rendition above reflects the cap.
Delayed imaging demonstrates filling of the gallbladder ruling out an underlying mass lesion. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology.
The Phrygians were a primitive race that migrated into northern and central Asia Minor in the second millenium BC. Cholecystectomy must be performed only when the deformed gallbladder causes symptoms like right upper quadrant abdominal pain … He used the Phrygian cap to hide his ears. It was first described by Bartel in 1916. The Phrygians were a primitive people that migrated to northern and central Asia Minor between 1000 and 2000BC.
Spech et al. (2). 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. Preferred mode of diagnosis for Phrygian cap is … 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.