December 2012

Abnormal gallbladder with air in the lumen

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Clinical information

Weight loss, abnormal liver function tests and pain in the upper abdomen

Ultrasound Images & Clips

Abnormal gallbladder

Abnormal gallbladder with air in the lumen

Another image of the abnormal gallbladder with thickened wall and air filled lumen

The gallbladder is in close relation to the duodenum

There is also air in the biliary tree

Air in the biliary tree

The mass in the gallbladder is vascularized

Another image with intraluminal flow

video

Detail of the fistula between the gallbladder and dudenum

Detail of the fistula between the gallbladder and dudenum coronal view

Conclusion

It was unclear whether the patient had a duodenal carcinoma that had perforated to the gallbladder or a gallbladder carcinoma that had perforated to the duodenum. An endoscopy of the duodenum was not possible because the patient had undergone a gastrojejunostomy (Roux and Y procedure) in the past. The patient was operated in a university hospital and had a gallbladder carcinoma that had perforated to the dudenum

Details

Sex: Male
Age: 73

Created with

Fujifilm Ultrasound System

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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