December 2012

Abnormal gallbladder with air in the lumen

Clinical Info

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

Ultrasound Images & Clips

Abnormal gallbladder

Abnormal gallbladder with air in the lumen
Abnormal gallbladder with air in the lumen
Another image of the abnormal gallbladder with thickened wall and air filled lumen
Another image of the abnormal gallbladder with thickened wall and air filled lumen
The gallbladder is in close relation to the duodenum
The gallbladder is in close relation to the duodenum
There is also air in the biliary tree
There is also air in the biliary tree
Air in the biliary tree
Air in the biliary tree
The mass in the gallbladder is vascularized
The mass in the gallbladder is vascularized
Another image with intraluminal flow
Another image with intraluminal flow
video
video
video
video CT
video CT
video CT
Detail of the fistula between the gallbladder and dudenum
Detail of the fistula between the gallbladder and dudenum
Detail of the fistula between the gallbladder and dudenum coronal view
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

  • Hitachi Ultrasound System