August 2008

Abnormal structure in the gallbladder

Clinical Info

Pain in the right upper abdomen, fever and positive infection parameters

Ultrasound Images & Clips

87 year old male, Pain in the right upper abdomen, fever and positive infection parameters

Longitudinal image of the gallbladder with a membranous structure
Longitudinal image of the gallbladder with a membranous structure
Longitudinal image of the gallbladder with sludge and the same membranous structure
Longitudinal image of the gallbladder with sludge and the same membranous structure
Longitudinal image of the gallbladder with gallstones, sludge and the same membranous structure
Longitudinal image of the gallbladder with gallstones, sludge and the same membranous structure
Detail of the membranous structure in the gallbladder

The membranous structure in the gallbladder is the sloughed mucosa and is a sign of a membranous cholecystitis which is a form of gangrenous cholecystitis. This an emergency condition. 
It must be
Detail of the membranous structure in the gallbladder The membranous structure in the gallbladder is the sloughed mucosa and is a sign of a membranous cholecystitis which is a form of gangrenous cholecystitis. This an emergency condition. It must be
Longitudinal image of the gallbladder with multiple septations
Longitudinal image of the gallbladder with multiple septations
Longitudinal image of the same multiseptated gallbladder with thin septations
Longitudinal image of the same multiseptated gallbladder with thin septations

Conclusion

References            
Teefey SA, Baron RL, Radke HM, Bigler SA. Gangrenous cholecystitis: new observations on sonography.
J Ultrasound Med. 1991 Nov;10(11):603-6.

Nakazawa T, Ohara H, Sano H, Kobayashi S, Nomura T, Joh T, Itoh M. Multiseptate gallbladder: diagnostic value of MR cholangiography and ultrasonography.
Abdom Imaging. 2004 Nov-Dec;29(6):691-3.


Details

  • Sex: Male
  • Age: 87

Created with

  • Hitachi Ultrasound System