{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:47:47Z","timestamp":1782506867178,"version":"3.54.5"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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.<\/jats:p>","DOI":"10.1093\/jscr\/rjag503","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T11:35:27Z","timestamp":1781004927000},"source":"Crossref","is-referenced-by-count":0,"title":["Phrygian cap deformity in a pediatric patient: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4680-0674","authenticated-orcid":false,"given":"Johann Paulo","family":"Guzman","sequence":"first","affiliation":[{"name":"Department of Surgery, Willis Knighton Health , 2600 Greenwood Road, Shreveport, LA 71103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nour Yanna","family":"Atassi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Willis Knighton Health , 2600 Greenwood Road, Shreveport, LA 71103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gazi Baderkhan","family":"Zibari","sequence":"additional","affiliation":[{"name":"Department of Surgery, Willis Knighton Health , 2600 Greenwood Road, Shreveport, LA 71103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hosein Mohammad","family":"Shokouh-Amiri","sequence":"additional","affiliation":[{"name":"Department of Surgery, Willis Knighton Health , 2600 Greenwood Road, Shreveport, LA 71103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin Neal","family":"Boykin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Willis Knighton Health , 2600 Greenwood Road, Shreveport, LA 71103 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062616084316500_ref1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2012.05.008"},{"key":"2026062616084316500_ref2","doi-asserted-by":"publisher","first-page":"e82","DOI":"10.1542\/peds.2011-0579","article-title":"Clinical characteristics and risk factors for symptomatic pediatric gallbladder disease","volume":"129","author":"Mehta","year":"2012","journal-title":"Pediatrics"},{"key":"2026062616084316500_ref3","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1002\/bjs.4078","article-title":"Surgery of the Liver Bile Ducts and Pancreas in Children. 2nd ed. E. R. Howard, M. D. Stringer and P. M. Colombani (eds) 280 \u00d7 200 mm. Pp. 572. 2002. Illustrated. Arnold: London","volume":"90","author":"Corbally","year":"2003","journal-title":"Br J Surg"},{"key":"2026062616084316500_ref4","doi-asserted-by":"publisher","first-page":"430","DOI":"10.5223\/pghn.2020.23.5.430","article-title":"Cholecystectomy is feasible in children with small-sized or large numbers of gallstones and in those with persistent symptoms despite medical treatment","volume":"23","author":"Lee","year":"2020","journal-title":"Pediatr Gastroentrol Hepatol Nutr"},{"key":"2026062616084316500_ref5","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1542\/pir.2019-0077","article-title":"Gallbladder, gallstones, and diseases of the gallbladder in children","volume":"41","author":"Goldman","year":"2020","journal-title":"Pediatr Rev"},{"key":"2026062616084316500_ref6","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1097\/MPG.0b013e3181b99c72","article-title":"Risk factors, complications, and outcomes of gallstones in children: a single-center review","volume":"50","author":"Bogue","year":"2010","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2026062616084316500_ref7","first-page":"57","article-title":"A case of cholecystitis associated with serosal phrygian cap: importance of preoperative diagnosis","volume":"41","author":"Van Kamp","year":"2024","journal-title":"J Morphol Sci"},{"key":"2026062616084316500_ops-bib-reference-imqmyadvbw1pav70","volume":"7"},{"key":"2026062616084316500_ref8","doi-asserted-by":"publisher","first-page":"e943435","DOI":"10.12659\/AJCR.943435","article-title":"A 42-year-old woman with recurrent pancreatitis associated with gallstones and phrygian cap gallbladder","volume":"25","author":"Curci","year":"2024","journal-title":"Am J Case Rep"},{"key":"2026062616084316500_ref9","doi-asserted-by":"publisher","first-page":"ND05","DOI":"10.7860\/JCDR\/2014\/9057.4724","article-title":"Congenital bilobed gallbladder with phrygian cap presenting as calculus cholecystitis","volume":"8","author":"Kannan","year":"2014","journal-title":"J Clin Diagn Res"},{"key":"2026062616084316500_ref10","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.59931","article-title":"Incidental discovery of a phrygian cap during Whipple's procedure: a case report","volume":"16","author":"Navandhar","year":"2024","journal-title":"Cureus"},{"key":"2026062616084316500_ref11","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1016\/j.surg.2021.12.027","article-title":"Phrygian cap cholecystitis","volume":"172","author":"Kerr","year":"2022","journal-title":"Surgery"},{"key":"2026062616084316500_ref12","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1002\/jum.16382","article-title":"Fetal \u201cPhrygian cap\u201d gallbladder: malformation or deformation?","volume":"43","author":"Sepulveda","year":"2024","journal-title":"J Ultrasound Med"},{"key":"2026062616084316500_ref13","doi-asserted-by":"publisher","first-page":"73","DOI":"10.4103\/jmu.jmu_109_23","article-title":"Prenatal diagnosis of phrygian cap gallbladder: two-and three-dimensional ultrasound, magnetic resonance imaging, and three-dimensional reconstructions","volume":"33","author":"Martins","year":"2025","journal-title":"J Med Ultrasound"},{"key":"2026062616084316500_ref14","first-page":"353","article-title":"Multiseptate gallbladder in an asymptomatic pediatric patient","volume":"5","author":"Ortol\u00e1","year":"2015","journal-title":"J Gastrointest Dig Syst"},{"key":"2026062616084316500_ref15","first-page":"589","article-title":"The Phrygian cap in cholecystography: a congenital anomaly of the gall bladder","volume":"33","author":"Boyden","year":"1935","journal-title":"Am J Radiol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag503\/68629896\/rjag503.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag503\/68629896\/rjag503.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:08:49Z","timestamp":1782504529000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag503\/8719252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag503","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag503"}}