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Abdomen and retroperitoneum | 1.2 Gallbladder and bile ducts
Case 1.2.2 Gallbladder
Thickened bile and sludge and hemobilia


Sludge in the gallbladder without stones

Sludge or hemobilia
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Sludge or hemobilia
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Sludge or hemobilia
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Sludge or hemobilia
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ERCP

An ERCP showed no stones in the common bile duct. A papillotomy was performed for a papil spasm.
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A repeated ERCP because of pain and increased liver function showed dilatation and a distal bile duct stone
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The same patient 1 month later. The sludge has disappeared but there is now a cholecystitis with mobile gallstones and a thickened gallbladderwall. There is also a mild pancreatitis.

Gallstones and a thickened gallbladderwall
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Gallstones and a thickened gallbladderwall
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Cholecystitis with hypervascularity of the wall
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Non dilatated common bile duct with slightly thickened wall
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Gallstones and a thickened gallbladderwall transverse
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Cholecystitis with hypervascularity of the wall transverse
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The same patient 1 month later. The sludge has disappeared but there is now a cholecystitis with mobile gallstones and a thickened gallbladderwall. There is also a mild pancreatitis.

Pancreatitis transverse
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Pancreatitis transverse
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Pancreatitis transverse
ID: /18686.jpg
Pancreatitis transverse
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