January 2015

Gallbladder with a stone and sludge or a polypoid lesion?

Clinical Info

Patient suspected of having gallstones.

Ultrasound Images & Clips

Gallbladder with a stone and sludge or a polypoid lesion?

Gallbladder with a stone and sludge or a polypoid lesion?
Gallbladder with a stone and sludge or a polypoid lesion?
Transverse image of the sluge or polypoid lesion. What would be your next step?
Transverse image of the sluge or polypoid lesion. What would be your next step?
With color doppler the lesion is vascularized, so it is solid and not sludge
With color doppler the lesion is vascularized, so it is solid and not sludge
Another image with flow in the mass. The common bile duct is normal
Another image with flow in the mass. The common bile duct is normal
Transverse image of the polypoid lesion. The lesion has a broad base Lesions larger than 1cm. are suspiciuos of being or developing to a galllbladdercarcinoma. A CT scan was performed
Transverse image of the polypoid lesion. The lesion has a broad base Lesions larger than 1cm. are suspiciuos of being or developing to a galllbladdercarcinoma. A CT scan was performed
CT scan
CT scan
CT scan. No metastases were seen, so the patient was operated and unfortunately it proved to be a gallbladder carcinoma
The same patient 6 months later has liver metastases
The same patient 6 months later has liver metastases
Another image of the liver metastases of the same patient
Another image of the liver metastases of the same patient
liver metastases
liver metastases
This is the gallbladder in a much older patient
This is the gallbladder in a much older patient
There is a mass in the gallbladder and the contour of the gallbladder is unsharp
There is a mass in the gallbladder and the contour of the gallbladder is unsharp
Another image of the same patient. There is soft tissue around the gallbladder
Another image of the same patient. There is soft tissue around the gallbladder
There is a mass next to the gallbladder. The contour of the gallbladder and liver is very unsharp
There is a mass next to the gallbladder. The contour of the gallbladder and liver is very unsharp
CT
CT
CT
A biopsy was performed
A biopsy was performed

Conclusion

Both patients had a gallbladder carcinoma. The first patient had a carcinoma that looked limited but that involved all the gallbladder wall layers. The gallbladder and part of the liver had to be removed. One of the lymph nodes that were removed was also positive. Half a year later she has multiple liver metastases.
In the second patient, the gallbladder was too extensive to undergo an operation. Although many patients with gallbladder carcinoma have stones this patient had no identifiable stones.
The prognosis of patients with gallbladder carcinoma is very poor.


Details

  • Sex: Female
  • Age: 59

Created with

  • Hitachi Ultrasound System