Browsing by Author "Adam, M.A."
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Item Report on a Double Phrygian Cap and Phrygian Prominence in a Nigerian Population(European Journal of Anatomy., 2018) Adam, M.A.; Olayemi, J.O.,; Airat, A.B.,; Kofoworola, K.Q.,; Ayinde, T.O.; Mustapha, A.M.,; Abdurrasheed, O.M.,It is debatable among anatomists whether the Phrygian cap of the gall bladder is an anomaly or anatomic variation with an incidence of 4.0% re ported. A 2-fold increase of 7.9% during a 5-year population study was observed in Lagos, Nigeria. A 48-year old male with minimal (non-acute) epi gastric discomfort was referred for ultrasound after suspicious cholecystitis. On radiological evalua tion, a double “Phrygian cap” was found by coinci dence. There is no recent emphasis on double Phrygian cap study, thus it is reported for its rarity and difficulty in arriving at conclusive diagnosis. Common imaging choice is mostly by multi-slice CT for biliary aspects and appendages. Most Phrygian caps are asymptomatic with little or no pathologic consequence. Surgical intervention (cholecystectomy) for a Phrygian cap is only indi cated in case of recurrent symptoms. To our knowledge, sparse anatomic and ultrasound litera ture exists on the Phrygian cap, thus the need for this rare case report.