Acute hepatitis: diffuse gallbladder wall thickening
Epigastric abdominal pain for more than a week. No fever associated.
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Thickening of 1.5cm of the gallbladder wall with hypoechoic areas in the wall, suggesting wall edema.
There were no associated collections, cholelithiasis, biliary sludge or biliary ductal dilatation. Diffusely increased echogenicity of a homogeneous liver parenchyma.
Sometimes it is difficult to assess the wall thickness of a gallbladder that is not distended.
But as appreciated in this case, this finding cannot be dismissed, and should be related to clinical findings. We suggested to that this may be due to acute hepatitis instead of cholecystitis or choledocholithiasis.
- IgM VHA -
- HBsAg +
- Ig M antiHBc +
- antiVHC -
- Il'chenko AA, Orlova IuN. Diffuse thickening of the gallbladder wall. Clinical significance. Eksp Klin Gastroenterol. 2010; (4): 47-57. Pubmed citation
- van Breda Vriesman AC, Engelbrecht MR, Smithuis RH et-al. Diffuse gallbladder wall thickening: differential diagnosis. AJR Am J Roentgenol. 2007;188 (2): 495-501. doi:10.2214/AJR.05.1712 - Pubmed citation