February 2015

There is an abnormal mass in the gallbladder

Clinical Info

Patient has pain in the right upper abdomen and fever.

Ultrasound Images & Clips

There is again an abnormal mass in the gallbladder

The pain in the right upper abdomen was caused by a large stone in the gallbladder neck
The pain in the right upper abdomen was caused by a large stone in the gallbladder neck
The gallbladder wall is thickened
The gallbladder wall is thickened
There is also an abnormal mass in the gallbladder
There is also an abnormal mass in the gallbladder
Another image of the mass
Another image of the mass
There are color signals in the mass
There are color signals in the mass
Another image of the color signals
Another image of the color signals
There seem to be a lot of color signals in the mass, but are these color signals really vessels
There seem to be a lot of color signals in the mass, but are these color signals really vessels
An MRI was performed
Another MRI
This is the gallbladder of a 65 year old male patient
This is the gallbladder of a 65 year old male patient
Does this patient have a gallbladder carcinoma
Does this patient have a gallbladder carcinoma
The lesion is limited to the fundus of the gallbladder and there is a tiny color Doppler signal
The lesion is limited to the fundus of the gallbladder and there is a tiny color Doppler signal
There is a liver metastasis
There is a liver metastasis
Does the liver metastasis change your diagnosis
Does the liver metastasis change your diagnosis
The CT scan shows a lungcarcinoma and a metastasis in the sternum
The CT scan shows a lungcarcinoma and a metastasis in the sternum
This is the CT scan of the gallbladder
This is the CT scan of the gallbladder

Conclusion

A mass in the gallbladder can be a real tumor mass like a polyp or possibly a carcinoma or it could be tumefactive bile. A thickened gallbladder wall can also mean that there is a gallbladder carcinoma. A color Doppler can be helpful but also confusing Be careful with interpreting color doppler signals because crystals within the sludge or thickened wall can give rise to twinkle artefacts. The first patient was operated and in this case, the mass proved to be tumefactive bile and not a real tumor. The second patient had an adenomyomatosis of the gallbladder and a metastasized lung carcinoma with liver and skeletal metastases.


Details

  • Sex: Female
  • Age: 62

Created with

  • Hitachi Ultrasound System