June 2012

Abnormal gallbladder

Clinical Info

Abnormal liver function tests

Ultrasound Images & Clips

Abnormal gallbladder

There is an abnormal gallbladder filled with echogenic material sludge or tumor?
There is an abnormal gallbladder filled with echogenic material sludge or tumor?
Another image of the abnormal gallbladder that also contains gallstones
Another image of the abnormal gallbladder that also contains gallstones
Another image of the stones in the gallbladder
Another image of the stones in the gallbladder
videoclip of the abnormal gallbladder
The mass is vascularized
The mass is vascularized
videoclip
There is also a soft tissue mass along the edge of the liver
There is also a soft tissue mass along the edge of the liver
Detail of the gallbladderwall. Part of the wall is intact and part is not
Detail of the gallbladderwall. Part of the wall is intact and part is not
There is also an abnormal common bile duct filled with stones
There is also an abnormal common bile duct filled with stones
CT scan of the abnormal gallbladder and common bile duct filled with stones. The abnormal gallbladder was interpreted as very suspiscious for a gallbladder carcinoma
The presence of the stones is confirmed with an ERCP. A papillotomy was performed and the liverfunction tests returned to normal
The presence of the stones is confirmed with an ERCP. A papillotomy was performed and the liverfunction tests returned to normal
Because the leverfunction tests were normal again the surgeon was reluctant to operate the gallbladder So a CT scan was repeated. There is now some air in the bile ducts
CT
CT scan clearly showing soft tissue stuctures in and outside the gallbladder. The patient was operated and the gallbladder and a part of the liver were removed

Conclusion

The mass proved to be a gallbladder carcinoma that had also extended outside the gallbladder in segment 5 of the liver which was also resected


Details

  • Sex: Female
  • Age: 65

Created with

  • Hitachi Ultrasound System