File:Biliary sludge (Radiopaedia 32159-33103 A 37).jpg

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Summary:

Description
  • Radiopaedia case ID: 32159
  • Image ID: 9063775
  • Image stack position: 37/41
  • Study description: 3 weeks later
  • Study findings: The gallbladder is markedly distended (measuring up to 17cm) and contains a large volume of sludge and mobile gallstones. There is small volume pericholecystic free fluid. No gallbladder wall thickening. Sonographic Murphy's sign is however positive. Intrahepatic duct dilation is present. The common bile duct measures up to 6.4 mm. No choledocholithiasis detected.
  • Modality: Ultrasound
  • System: Hepatobiliary
  • Findings: The gallbladder is markedly distended and contains a large volume of mobile echogenic material in keeping with sludge. This extends into the neck of the gallbladder and the cystic duct. Cholelithiasis is demonstrated. The gallbladder wall is thickened measuring 6 mm. There is a small volume of pericholecystic free fluid. Murphy's sign positive. The common bile duct is dilated measuring up to 13 mm at the head of pancreas. No choledocholithiasis detected. There is also intrahepatic biliary dilatation. Conclusion: Markedly distended, tender gallbladder with cholelithiasis and a large amount of sludge. The appearances are in keeping with acute cholecystitis.
Date Published: 28th Sep 2016
Source https://radiopaedia.org/cases/biliary-sludge
Author Frank Gaillard
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current09:56, 15 June 2021Thumbnail for version as of 09:56, 15 June 2021960 × 720 (37 KB) (talk | contribs)Radiopaedia project rID:32159 (batch #4423-37 A37)

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