ArticleJournal of surgical case reports2026
Phrygian cap deformity in a pediatric patient: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
The overall prevalence of congenital causes of gallstones is not well established. The Phrygian cap is a congenital anomaly of the gallbladder with an incidence of 4%. The literature provides a few case reports on Phrygian cap deformity with or without associated gallstones. This report presents a 15-year-old Hispanic, overweight female patient transferred to our service due to an aborted laparoscopic cholecystectomy. During the initial surgery, there was a suspicion of choledochal/gallbladder cyst. Due to intraoperative and technical difficulties, the patient was referred to our pediatric surgical service. All her prior imaging was unremarkable. A magnetic resonance cholangiopancreatogram revealed mild prominence of the cystic duct with a slightly ovoid in configuration, normal sized intrahepatic and common bile ducts, suspecting a type VI choledochal cyst. Endoscopic retrograde cholangiopancreatography, showed a phrygian cap deformity. The decision was made to proceed with a standard laparoscopic cholecystectomy. This report highlights that while cholecystectomy is curative, additional imaging may be needed to establish anatomy and diagnosis in unusual gallbladder anatomy.
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