May 2015

Gallbladder with a thick wall

Clinical Info

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. There are no stones in the gallbladder, no stone in the gallbladder neck
Another image of the gallbladder. There are no stones in the gallbladder, no stone in the gallbladder neck
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 contents of the gallbladder are still fairly clear. No other cause for the gallbladderwall thickening could be found. So a punction was performed and pus was aspirated
The contents of the gallbladder are still fairly clear. No other cause for the gallbladderwall thickening could be found. So a punction was performed and pus was aspirated
A pigtail catheter was placed and the patient recovered in a few days time. The patient had an acalculous cholecystitis and also afterwards no other cause for the thickened gallbladderwall was found
A pigtail catheter was placed and the patient recovered in a few days time. The patient had an acalculous cholecystitis and also afterwards no other cause for the thickened gallbladderwall was found
This a small gallbladder with a very thick wall without stones in a young female patient with severe liver function tests. Is this also an acute aculculous cholecystitis
This a small gallbladder with a very thick wall without stones in a young female patient with severe liver function tests. Is this also an acute aculculous cholecystitis
This patient does not have an acute acalculous cholecystis but a hepatitis. A hepatitis can sometimes cause some pain over the liver, but otherwise the clinical symptoms differ from a cholecystitis and does not need a percutaneous drainage
This patient does not have an acute acalculous cholecystis but a hepatitis. A hepatitis can sometimes cause some pain over the liver, but otherwise the clinical symptoms differ from a cholecystitis and does not need a percutaneous drainage

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