May 2015

Gallbladder with a thick wall

Clinical information

Intensive care patient has the clinical symptoms of a cholecystitis

Ultrasound Images & Clips

Gallbladder with a thickened wall

Gallbladder without stones but with a thick wall
Gallbladder without stones but with a thick wall
Another image of the gallbladder
Another image of the gallbladder
The next day the situation is unchanged
The next day the situation is unchanged
Another image shows again no gallstones
Another image shows again no gallstones
The next day the situation again was unchanged. The contents of the gallbladder are still fairly clear. A punction was performed and pus was aspirated
The next day the situation again was unchanged. The contents of the gallbladder are still fairly clear. A punction was performed and pus was aspirated
A pigtail catheter was placed
A pigtail catheter was placed
This a gallbladder in a young female patient with severe liver function tests. Is this also an aculculous cholecystitis
This a gallbladder in a young female patient with severe liver function tests. Is this also an aculculous cholecystitis
This patient does not have an acalculous cholecystis but a hepatitis. A hepatitis can sometimes cause some pain over the liver, but otherwise the clinical symptoms differ from a cholecystitis
This patient does not have an acalculous cholecystis but a hepatitis. A hepatitis can sometimes cause some pain over the liver, but otherwise the clinical symptoms differ from a cholecystitis

Conclusion

An acalculous cholecystitis is rare and is usually found in patents with a poor physical condition, like in this case of an ICU patient. A thickened gallbladder wall has a lot of different causes and these must be differentiated from a true acute acalculous cholecystitis.

Details

  • Sex: Male
  • Age: 78

Created with

  • Hitachi Ultrasound System