Causes Of Gallbladder Wall Thickening Radiology

Technical factors such as the angle of the.

Causes of gallbladder wall thickening radiology.

Thirty six patients with acute hepatitis and 25 normal volunteers were examined by ultrasound to determine the thickness of the gallbladder wall. The findings of ischemia in closed loop obstruction are the same as in patients with other causes of mesenteric ischemia. Historically a thick walled gallbladder has been regarded as proof of primary gallbladder disease and it is a well known hallmark feature of acute cholecystitis. Cholecystitis can occur in children without gallbladder wall thickening as well.

Thus for all non emergent exams a fasting period of 6 12 hours. Pseudothickening caused by the normal postprandial state of the contracted gallbladder is also extremely common 5. Thickening and hyperemia pre and post contrast of the wall and a single stone is shown on the mri of a patient with chronic cholecystitis. Thickening of the gallbladder wall usually considered 3 mm is a non specific sign of various conditions.

The gallbladder wall may appear falsely thickened if fluid is trapped in the mesentery between the gallbladder and liver creating a halo effect or if fluid is otherwise surrounding the intraperitoneal gallbladder. Cholecystitis acute cholecystitis chronic cholecystitis gallbladder empyema 7 xanthogranulomatous cholecystitis 11 acalculous cholecystitis11 postprandial phy. Thickening of the gallbladder wall is a relatively frequent finding at diagnostic imaging studies. Liver enzymes were measured at the time of the examination in all patients.

Focal gallbladder wall thickening is often an imaging diagnosis and encompasses a wide variety of differential diagnoses. Gallbladder wall thickening can be caused by inflammatory benign and malignant etiologies. Other speculated mechanisms of gallbladder wall thickening in the disease states above are increased portal venous pressure and generalized edema. Polypoid lesions of the gallbladder form an important group of conditions that are included in the differential diagnosis of focal gallbladder wall thickening and can be divided into neoplastic and non neoplastic groups figure 57 1.

Going back through radiology journal articles older than the ones below 1970s 80s the same mechanisms are invoked repeatedly and other older articles are referenced. Diffuse thickening of the gallbladder wall can occur in a number of situations.