Gall Bladder Ultrasound PDF
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J. Bernal
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Summary
This document provides information on ultrasound images of the gall bladder, covering various conditions such as normal ultrasound, congenital abnormalities, inflammatory diseases, and more. The author, J. Bernal, explains the procedures, signs, and characteristics related to these conditions. It is a useful guide for medical professionals.
Full Transcript
Ultrasound of the gall bladder 1.Normal GB ultrasound 2.Congenital abnormalities 3.Cholelithiasis: Stones and sludge 4.Inflammatory diseases: Acute cholecystitis Chronic cholecystitis...
Ultrasound of the gall bladder 1.Normal GB ultrasound 2.Congenital abnormalities 3.Cholelithiasis: Stones and sludge 4.Inflammatory diseases: Acute cholecystitis Chronic cholecystitis 5.Hyperplastic gall bladder wall: Polyps and adenomyomatosis 6.Enlarged versus small GB 7.CA gall bladder Gall stones Echogenic focus. Posterior shadowing. sludge Biliary sludge is a mixture of particulate solids that have precipitated from bile. Such sediment consists of cholesterol crystals, calcium bilirubinate pigment, and other calcium salts. Sludge is usually detected on transabdominal ultrasonography. Acute cholecystitis Positive tender on probing sign Thickened edematous GB wall Distended GB. Peri-cholecystic fluid collection. Ultrasound images showing acute calculous cholecystitis with pericholecystic inflammatory changes: gallbladder distention (69,61 mm transverse diameter), wall thickening (yellow arrow), gallstone (green arrow), echogenic inflamed fat (white arrow) and pocket of oedema fluid (red arrow). References: - Viseu/PT Thickened gallbladder wall in a 9 year old girl with hepatitis Chronic cholecystitis Thick wall with GB Porcelain GB stones Porcelain gallbladder Treatment and prognosis Statistically, gallbladder polyps are common and gallbladder cancer is rare, so very few polyps progress to gallbladder cancer. There is also controversy regarding the development of gallbladder cancer and some suggest that polyps may not actually progress to cancer 10. Recommended follow-up of small polyps (