{"id":7430,"date":"2023-09-14T06:40:00","date_gmt":"2023-09-14T09:40:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=7430"},"modified":"2023-09-14T10:05:05","modified_gmt":"2023-09-14T13:05:05","slug":"adenomiomatose-da-vesicula-biliar","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/","title":{"rendered":"Adenomiomatose da Ves\u00edcula Biliar"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7430?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7430?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-introducao\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A adenomiomatose ou adenomiose (ADM) \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento excessivo da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais, conhecidos como sinusoides de Rokitansky-Aschoff (RAS).<\/p>\n\n\n\n<p>Neste artigo vamos revisar as caracter\u00edsticas patol\u00f3gicas, epidemiol\u00f3gicas e de diagn\u00f3stico da adenomiomatose, tecendo um breve coment\u00e1rio sobre o tratamento<\/p>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>Para saber mais sobre p\u00f3lipos da ves\u00edcula biliar, confira esse outro artigo:<\/summary>\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-gastropedia wp-block-embed-gastropedia\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"90HoiSfQJG\"><a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/polipos-de-vesicula-biliar\/\">P\u00f3lipos de Ves\u00edcula Biliar<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;P\u00f3lipos de Ves\u00edcula Biliar&#8221; &#8212; Gastropedia\" src=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/polipos-de-vesicula-biliar\/embed\/#?secret=7egFAAD9sY#?secret=90HoiSfQJG\" data-secret=\"90HoiSfQJG\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<div style=\"height:65px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/details>\n\n\n\n<div style=\"height:54px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-epidemiologia\"><strong>Epidemiologia<\/strong><\/h2>\n\n\n\n<p>A adenomiomatose \u00e9 relativamente comum, sendo encontrada em 1-9% das amostras de colecistectomia. Embora possa ocorrer em uma ampla faixa et\u00e1ria, os diagn\u00f3sticos mais frequentes s\u00e3o em pacientes na faixa dos 50 anos. A incid\u00eancia aumenta com a idade, provavelmente devido \u00e0 inflama\u00e7\u00e3o prolongada.<\/p>\n\n\n\n<p>A preval\u00eancia da adenomiomatose em rela\u00e7\u00e3o ao g\u00eanero varia na literatura. Alguns estudos indicam que \u00e9 mais comum em mulheres (3:1), enquanto outros afirmam que a preval\u00eancia \u00e9 semelhante entre homens e mulheres. N\u00e3o h\u00e1 prefer\u00eancia racial conhecida.<\/p>\n\n\n\n<p>A causa da adenomiomatose \u00e9 desconhecida, embora se acredite que seja uma resposta \u00e0 inflama\u00e7\u00e3o cr\u00f4nica da ves\u00edcula biliar. Como os diagn\u00f3sticos mais frequentes ocorrem na faixa dos 50 anos, a ideia de inflama\u00e7\u00e3o cr\u00f4nica como etiologia parece plaus\u00edvel.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-achados-patologicos\"><strong>Achados Patol\u00f3gicos<\/strong><\/h2>\n\n\n\n<p>A adenomiomatose \u00e9 uma das colecistoses hiperpl\u00e1sicas, sendo a outra a colesterolose. Nessa condi\u00e7\u00e3o, ocorre hiperplasia da parede com a forma\u00e7\u00e3o de sinus\u00f3ides de Rokitansky-Aschoff (divert\u00edculos intramurais revestidos por epit\u00e9lio mucoso) que penetram na parede muscular da ves\u00edcula biliar, com ou sem espessamento da parede. O ac\u00famulo de colesterol na adenomiomatose \u00e9 intraluminal, j\u00e1 que cristais de colesterol precipitam na bile retida nos sinus\u00f3ides de Rokitansky-Aschoff.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS.jpeg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS-1024x730.jpeg\" alt=\"\" class=\"wp-image-7432\" style=\"width:640px\" width=\"640\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS-1024x730.jpeg?v=1694031614 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS-300x214.jpeg?v=1694031614 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS-768x547.jpeg?v=1694031614 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS-1170x834.jpeg?v=1694031614 1170w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS-585x417.jpeg?v=1694031614 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Imagem-1-RAS.jpeg?v=1694031614 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br>Os seios de Rokitansky-Aschoff consistem em invagina\u00e7\u00f5es do epit\u00e9lio na camada muscular que produzem pequenos divert\u00edculos intramurais. Por si s\u00f3, essa condi\u00e7\u00e3o n\u00e3o apresenta significado cl\u00ednico. Um diagn\u00f3stico histol\u00f3gico de adenomiomatose requer que os seios de Rokitansky-Aschoff sejam profundos, ramificados e acompanhados de hipertrofia da camada muscular.<br>Fonte: <em>Sleisenger and Fordtran\u2019s Gastrointestinal and liver disease 9th ed p 1146 \u2013 1149<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Existem tr\u00eas formas macrosc\u00f3picas de adenomiomatose (Fig. 2):<\/p>\n\n\n\n<ul class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background wp-block-list\">\n<li>A forma <strong>segmentar<\/strong> (&gt; 60%): forma uma esp\u00e9cie de diafragma entre o colo e o fundo da ves\u00edcula biliar, separando-a em duas zonas comunicantes.<\/li>\n\n\n\n<li>A forma <strong>localizada<\/strong> (30%): geralmente ocorre no fundo da ves\u00edcula.<\/li>\n\n\n\n<li>A forma <strong>difusa<\/strong> (mais rara &lt;5%): espessamento parietal que afeta toda a parede da ves\u00edcula.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose-1024x612.png\" alt=\"\" class=\"wp-image-7433\" style=\"width:640px\" width=\"640\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose-1024x612.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose-300x179.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose-768x459.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose-1170x699.png 1170w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose-585x350.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><em>Formas macrosc\u00f3picas da adenomiomatose<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<p>No tipo localizado, a adenomiomatose pode causar um espessamento mucoso focal na parede da ves\u00edcula formando um n\u00f3dulo, geralmente no fundo, que se projeta para o l\u00famen, dando a apar\u00eancia de um p\u00f3lipo na ultrassonografia. A camada muscular na \u00e1rea afetada costuma estar espessada de tr\u00eas a cinco vezes a sua espessura normal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quadro-clinico\"><strong>Quadro Cl\u00ednico<\/strong><\/h2>\n\n\n\n<p>Geralmente, a adenomiomatose \u00e9 assintom\u00e1tica, sendo descoberta incidentalmente por exames de imagem ou ap\u00f3s colecistectomia, mas pode apresentar sintomas. Em raras situa\u00e7\u00f5es, pode causar dores semelhantes a c\u00f3licas biliares no hipoc\u00f4ndrio direito. No entanto, como metade dos casos de ADM est\u00e1 associada a c\u00e1lculos biliares, \u00e9 dif\u00edcil atribuir especificamente \u00e0 ADM a causa dessas dores.<\/p>\n\n\n\n<p>N\u00e3o h\u00e1 evid\u00eancia de que a presen\u00e7a de adenomiomatose aumente o risco de c\u00e2ncer de ves\u00edcula biliar. Por\u00e9m, a presen\u00e7a de adenomiomatose est\u00e1 associada a casos mais avan\u00e7ados de c\u00e2ncer de ves\u00edcula biliar, possivelmente porque sua presen\u00e7a dificulta o diagn\u00f3stico precoce por exames de imagem.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-radiologico\"><strong>Diagn\u00f3stico Radiol\u00f3gico<\/strong><\/h2>\n\n\n\n<p>Uma vez que a ADM n\u00e3o apresenta sintomas espec\u00edficos, a imagem desempenha um papel fundamental no seu diagn\u00f3stico diferencial. Cerca de 25% dos casos de espessamento da parede da ves\u00edcula biliar (parede &gt; 3 mm) s\u00e3o devidos \u00e0 ADM.<\/p>\n\n\n\n<p>Atualmente, o diagn\u00f3stico baseia-se na ultrassonografia (US) e frequentemente \u00e9 incidental. A USG apresenta uma sensibilidade de cerca de 65%.<\/p>\n\n\n\n<p>Os sinais sugestivos incluem parede espessada, conte\u00fado luminal anecoico ou ecog\u00eanico (lodo, c\u00e1lculos), imagens murais pseudoc\u00edsticas correspondendo aos seios de Rokitansky-Aschoff e artefatos de reverbera\u00e7\u00e3o ac\u00fastica (cauda de cometa) devido a concre\u00e7\u00f5es de c\u00e1lcio presas nos RAS.<\/p>\n\n\n\n<p>A ultrassonografia endosc\u00f3pica melhora a sensibilidade da USG transabdominal, especialmente para o diagn\u00f3stico diferencial com c\u00e2ncer da VB.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-ultrassonografia\"><strong>Ultrassonografia<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>espessamento mural (difuso, focal, anular)\n<ul class=\"wp-block-list\">\n<li>forma segmentar \u00e9 especialmente dif\u00edcil de distinguir do <a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenocarcinoma-de-vesicula-biliar-como-proceder-diante-do-diagnostico-inesperado\/\" target=\"_blank\" rel=\"noreferrer noopener\">carcinoma de ves\u00edcula biliar<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>artefato de cauda de cometa: focos intramurais ecog\u00eanicos dos quais emanam artefatos de reverbera\u00e7\u00e3o em forma de V s\u00e3o altamente espec\u00edficos para a adenomiomatose, representando os cristais de colesterol no lumen dos seios de Rokitansky-Aschoff<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose.jpg\" alt=\"\" class=\"wp-image-7445\" style=\"width:480px\" width=\"480\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose.jpg?v=1694132004 611w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-300x268.jpg?v=1694132004 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-585x522.jpg?v=1694132004 585w\" sizes=\"(max-width: 611px) 100vw, 611px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Espessamento segmentar hipoecoico no fundo da ves\u00edcula biliar, medindo 11\u00d75mm,sugestivo de adenomiomatose. Imagem cedida pela Dra. Julia Mayumi Gregorio<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tomografia-computadorizada\"><strong>Tomografia Computadorizada<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>espessamento anormal da parede da ves\u00edcula biliar e realce s\u00e3o caracter\u00edsticas comuns, mas n\u00e3o espec\u00edficas, da TC para a adenomiomatose<\/li>\n\n\n\n<li>os seios de Rokitansky-Aschoff maiores podem ser visualizados<\/li>\n\n\n\n<li>foi descrito um sinal de ros\u00e1rio na TC, formado por epit\u00e9lio real\u00e7ado dentro de divert\u00edculos intramurais cercados pela camada muscular da ves\u00edcula biliar hipertr\u00f3fica relativamente n\u00e3o real\u00e7ada<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-ressonancia-nuclear-magnetica\"><strong>Resson\u00e2ncia Nuclear Magn\u00e9tica<\/strong><\/h3>\n\n\n\n<p>A Colangiopancreatografia por Resson\u00e2ncia Magn\u00e9tica (CPRM) \u00e9 a t\u00e9cnica normalmente empregada para caracteriza\u00e7\u00e3o da ves\u00edcula biliar e \u00e1rvore biliar. As caracter\u00edsticas de imagem incluem:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>espessamento mural<\/li>\n\n\n\n<li>massa focal s\u00e9ssil<\/li>\n\n\n\n<li>divert\u00edculos intramurais preenchidos com l\u00edquido<\/li>\n\n\n\n<li>o sinal de colar de p\u00e9rolas refere-se \u00e0 disposi\u00e7\u00e3o curvil\u00ednea caracter\u00edstica de v\u00e1rias cavidades intramurais arredondadas hiperintensas visualizadas em imagens ponderadas em T2<\/li>\n\n\n\n<li>configura\u00e7\u00e3o de ampulheta em tipos anulares<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"471\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-1024x471.png\" alt=\"\" class=\"wp-image-7482\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-1024x471.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-300x138.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-768x353.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-585x269.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS.png 1056w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento\"><strong>Tratamento<\/strong><\/h2>\n\n\n\n<p>Pacientes com caracter\u00edsticas t\u00edpicas de adenomiomatose na ultrassonografia n\u00e3o requerem vigil\u00e2ncia ou colecistectomia.<\/p>\n\n\n\n<p>A colecistectomia pode ser realizada nas seguintes situa\u00e7\u00f5es:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>paciente sintom\u00e1tico com dor no quadrante superior direito (geralmente devido a c\u00e1lculos biliares)<\/li>\n\n\n\n<li>apar\u00eancia (especialmente quando focal) pode ser dif\u00edcil de distinguir de malignidade.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-galeria-de-imagens\"><strong>Galeria de Imagens<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"870\" height=\"500\" data-id=\"7486\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose1.png\" alt=\"\" class=\"wp-image-7486\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose1.png 870w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose1-300x172.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose1-768x441.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose1-585x336.png 585w\" sizes=\"(max-width: 870px) 100vw, 870px\" \/><figcaption class=\"wp-element-caption\">Forma localizada com focos anecoicos (RAS)<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"806\" height=\"570\" data-id=\"7485\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-fundica.png\" alt=\"\" class=\"wp-image-7485\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-fundica.png 806w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-fundica-300x212.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-fundica-768x543.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-fundica-585x414.png 585w\" sizes=\"(max-width: 806px) 100vw, 806px\" \/><figcaption class=\"wp-element-caption\">Espessamento hipoecoico focal no fundo da ves\u00edcula<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"560\" height=\"400\" data-id=\"7483\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_segmentar.png\" alt=\"\" class=\"wp-image-7483\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_segmentar.png 560w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_segmentar-300x214.png 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" \/><figcaption class=\"wp-element-caption\">Forma seegmentar<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"560\" height=\"516\" data-id=\"7484\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-cometa.png\" alt=\"\" class=\"wp-image-7484\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-cometa.png 560w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-cometa-300x276.png 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" \/><figcaption class=\"wp-element-caption\">Aspecto de cauda de cometa<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"471\" data-id=\"7482\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-1024x471.png\" alt=\"\" class=\"wp-image-7482\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-1024x471.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-300x138.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-768x353.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS-585x269.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose_RAS.png 1056w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<div style=\"height:52px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Golse N, Lewin M, Rode A, Sebagh M, Mabrut JY. Gallbladder adenomyomatosis: Diagnosis and management. J Visc Surg. 2017 Oct;154(5):345-353. doi: 10.1016\/j.jviscsurg.2017.06.004. Epub 2017 Aug 24. PMID: 28844704.<\/li>\n\n\n\n<li>Ryu Y, Abdeldjalil B, Molinari A, et al. Adenomyomatosis of the gallbladder. Reference article, Radiopaedia.org (Accessed on 24 Aug 2023) https:\/\/doi.org\/10.53347\/rID-7056<\/li>\n\n\n\n<li>Wisam F Zakko, MD. Gallbladder polyps. Dispon\u00edvel em https:\/\/www.uptodate.com\/contents\/gallbladder-polyps<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\">Como citar este artigo<\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#d3dbe0\">Martins BC. Adenomiomatose da Ves\u00edcula Biliar Gastropedia 2023; vol 2. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=7430\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/<\/a><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A adenomiomatose ou adenomiose (ADM) \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento excessivo da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais, conhecidos como&hellip;<\/p>\n","protected":false},"author":722,"featured_media":7433,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,28],"tags":[381,378],"ano":[137],"tipo":[121],"volume":[44],"class_list":["post-7430","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-hepatopancreatobiliar","tag-adenomiose","tag-polipos-de-vesicula","ano-137","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Adenomiomatose da Ves\u00edcula Biliar - Gastropedia<\/title>\n<meta name=\"description\" content=\"A adenomiomatose \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adenomiomatose da Ves\u00edcula Biliar\" \/>\n<meta property=\"og:description\" content=\"A adenomiomatose \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/\" \/>\n<meta property=\"og:site_name\" content=\"Gastropedia\" \/>\n<meta property=\"article:published_time\" content=\"2023-09-14T09:40:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-14T13:05:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"765\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Bruno Martins\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bruno Martins\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/\"},\"author\":{\"name\":\"Bruno Martins\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/e746abbdd98a9e95abee1e548d8958b8\"},\"headline\":\"Adenomiomatose da Ves\u00edcula Biliar\",\"datePublished\":\"2023-09-14T09:40:00+00:00\",\"dateModified\":\"2023-09-14T13:05:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/\"},\"wordCount\":1134,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/Figura-2-Adenomiomatose.png\",\"keywords\":[\"adenomiose\",\"p\u00f3lipos de ves\u00edcula\"],\"articleSection\":[\"Cirurgia\",\"Hepatopancreatobiliar\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/\",\"name\":\"Adenomiomatose da Ves\u00edcula Biliar - Gastropedia\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/Figura-2-Adenomiomatose.png\",\"datePublished\":\"2023-09-14T09:40:00+00:00\",\"dateModified\":\"2023-09-14T13:05:05+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/e746abbdd98a9e95abee1e548d8958b8\"},\"description\":\"A adenomiomatose \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#primaryimage\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/Figura-2-Adenomiomatose.png\",\"contentUrl\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/Figura-2-Adenomiomatose.png\",\"width\":1280,\"height\":765},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/cirurgia\\\/hepatopancreatobiliar\\\/adenomiomatose-da-vesicula-biliar\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Adenomiomatose da Ves\u00edcula Biliar\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#website\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/\",\"name\":\"Gastropedia\",\"description\":\"Atualiza\u00e7\u00e3o m\u00e9dica de forma descomplicada para profissionais que trabalham com sa\u00fade do aparelho digestivo.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/e746abbdd98a9e95abee1e548d8958b8\",\"name\":\"Bruno Martins\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"http:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/RENOVADObruno.jpg\",\"url\":\"http:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/RENOVADObruno.jpg\",\"contentUrl\":\"http:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/RENOVADObruno.jpg\",\"caption\":\"Bruno Martins\"},\"description\":\"Professor Livre-Docente pela Faculdade de Medicina da Universidade de S\u00e3o Paulo M\u00e9dico Endoscopista do Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP) M\u00e9dico Endoscopista do Hospital Alem\u00e3o Oswaldo Cruz Emerging Star pela WEO\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/author\\\/bruno\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Adenomiomatose da Ves\u00edcula Biliar - Gastropedia","description":"A adenomiomatose \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/","og_locale":"pt_BR","og_type":"article","og_title":"Adenomiomatose da Ves\u00edcula Biliar","og_description":"A adenomiomatose \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais","og_url":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/","og_site_name":"Gastropedia","article_published_time":"2023-09-14T09:40:00+00:00","article_modified_time":"2023-09-14T13:05:05+00:00","og_image":[{"width":1280,"height":765,"url":"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png","type":"image\/png"}],"author":"Bruno Martins","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Bruno Martins","Est. tempo de leitura":"8 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#article","isPartOf":{"@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/"},"author":{"name":"Bruno Martins","@id":"https:\/\/gastropedia.pub\/pt\/#\/schema\/person\/e746abbdd98a9e95abee1e548d8958b8"},"headline":"Adenomiomatose da Ves\u00edcula Biliar","datePublished":"2023-09-14T09:40:00+00:00","dateModified":"2023-09-14T13:05:05+00:00","mainEntityOfPage":{"@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/"},"wordCount":1134,"commentCount":0,"image":{"@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#primaryimage"},"thumbnailUrl":"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png","keywords":["adenomiose","p\u00f3lipos de ves\u00edcula"],"articleSection":["Cirurgia","Hepatopancreatobiliar"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/","url":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/","name":"Adenomiomatose da Ves\u00edcula Biliar - Gastropedia","isPartOf":{"@id":"https:\/\/gastropedia.pub\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#primaryimage"},"image":{"@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#primaryimage"},"thumbnailUrl":"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png","datePublished":"2023-09-14T09:40:00+00:00","dateModified":"2023-09-14T13:05:05+00:00","author":{"@id":"https:\/\/gastropedia.pub\/pt\/#\/schema\/person\/e746abbdd98a9e95abee1e548d8958b8"},"description":"A adenomiomatose \u00e9 uma condi\u00e7\u00e3o benigna da ves\u00edcula biliar caracterizada pelo crescimento da mucosa, espessamento da parede muscular e presen\u00e7a de divert\u00edculos intramurais","breadcrumb":{"@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#primaryimage","url":"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png","contentUrl":"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/Figura-2-Adenomiomatose.png","width":1280,"height":765},{"@type":"BreadcrumbList","@id":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/gastropedia.pub\/pt\/"},{"@type":"ListItem","position":2,"name":"Adenomiomatose da Ves\u00edcula Biliar"}]},{"@type":"WebSite","@id":"https:\/\/gastropedia.pub\/pt\/#website","url":"https:\/\/gastropedia.pub\/pt\/","name":"Gastropedia","description":"Atualiza\u00e7\u00e3o m\u00e9dica de forma descomplicada para profissionais que trabalham com sa\u00fade do aparelho digestivo.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/gastropedia.pub\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Person","@id":"https:\/\/gastropedia.pub\/pt\/#\/schema\/person\/e746abbdd98a9e95abee1e548d8958b8","name":"Bruno Martins","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"http:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2022\/09\/RENOVADObruno.jpg","url":"http:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2022\/09\/RENOVADObruno.jpg","contentUrl":"http:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2022\/09\/RENOVADObruno.jpg","caption":"Bruno Martins"},"description":"Professor Livre-Docente pela Faculdade de Medicina da Universidade de S\u00e3o Paulo M\u00e9dico Endoscopista do Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP) M\u00e9dico Endoscopista do Hospital Alem\u00e3o Oswaldo Cruz Emerging Star pela WEO","url":"https:\/\/gastropedia.pub\/pt\/author\/bruno\/"}]}},"_links":{"self":[{"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/users\/722"}],"replies":[{"embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/comments?post=7430"}],"version-history":[{"count":14,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7430\/revisions"}],"predecessor-version":[{"id":7501,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7430\/revisions\/7501"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/media\/7433"}],"wp:attachment":[{"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/media?parent=7430"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/categories?post=7430"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/tags?post=7430"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/ano?post=7430"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/tipo?post=7430"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/volume?post=7430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}