Causes Of Gallbladder Wall Thickening Radiology

16239c 8s gallbladder stone cholelithiasis wall thickened thick wall enhancing wall dx chronic cholecystitis bile duct cholangiocarcinoma mri with and without contrast.

Causes of gallbladder wall thickening radiology.

Gallbladder wall thickening can be caused by inflammatory benign and malignant etiologies. 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. 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. Ten were excluded since they had other diseases which could lead to wall thickening.

Liver enzymes were measured at the time of the examination in all patients. Thickening of the gallbladder wall usually considered 3 mm is a non specific sign of various conditions. Focal gallbladder wall thickening is often an imaging diagnosis and encompasses a wide variety of differential diagnoses. Pseudothickening caused by the normal postprandial state of the contracted gallbladder is also extremely common 5.

Cholecystitis can occur in children without gallbladder wall thickening as well. Other speculated mechanisms of gallbladder wall thickening in the disease states above are increased portal venous pressure and generalized edema. Technical factors such as the angle of the. Enhancement of the bowel in ischemia can be normal increased due to reperfusion or there can be lack of enhancement like in this case.

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. Diffuse thickening of the gallbladder wall can occur in a number of situations. 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. 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.

Thus for all non emergent exams a fasting period of 6 12 hours. Cholecystitis acute cholecystitis chronic cholecystitis gallbladder empyema 7 xanthogranulomatous cholecystitis 11 acalculous cholecystitis11 postprandial phy.