Sludge or hemobilia in the gallbladder leading to gallstone formation

Sludge in the gallbladder without stones

Clinical Info

Pain in the right upper abdomen

Ultrasound Images & Clips

Sludge in the gallbladder without stones

Sludge or hemobilia
Sludge or hemobilia
Sludge or hemobilia
Sludge or hemobilia
Sludge or hemobilia
Sludge or hemobilia
Sludge or hemobilia
Sludge or hemobilia

ERCP

An ERCP showed no stones in the common bile duct. A papillotomy was performed for a papil spasm.
An ERCP showed no stones in the common bile duct. A papillotomy was performed for a papil spasm.
A repeated ERCP because of pain and increased liver function showed dilatation and a distal bile duct stone
A repeated ERCP because of pain and increased liver function showed dilatation and a distal bile duct stone

The same patient 1 month later. The sludge has disappeared but there is now a cholecystitis with mobile gallstones and a thickened gallbladderwall. There is also a mild pancreatitis.

Gallstones and a thickened gallbladderwall
Gallstones and a thickened gallbladderwall
Gallstones and a thickened gallbladderwall
Gallstones and a thickened gallbladderwall
Cholecystitis with hypervascularity of the wall
Cholecystitis with hypervascularity of the wall
Non dilatated common bile duct with slightly thickened wall
Non dilatated common bile duct with slightly thickened wall
Gallstones and a thickened gallbladderwall transverse
Gallstones and a thickened gallbladderwall transverse
Cholecystitis with hypervascularity of the wall transverse
Cholecystitis with hypervascularity of the wall transverse

The same patient 1 month later. The sludge has disappeared but there is now a cholecystitis with mobile gallstones and a thickened gallbladderwall. There is also a mild pancreatitis.

Pancreatitis transverse
Pancreatitis transverse
Pancreatitis transverse
Pancreatitis transverse
Pancreatitis transverse
Pancreatitis transverse
Pancreatitis transverse
Pancreatitis transverse

Details

  • Sex: Female
  • Age: 22
  • Body part: Gallbladder

Created with

  • Hitachi Ultrasound System