Strawberry gallbladder
Last revised by Jeremy Jones on 20 Sep 2021
Citation, DOI, disclosures and article data
Citation:
Gaillard F, Jones J, Di Muzio B, et al. Strawberry gallbladder. Reference article, Radiopaedia.org (Accessed on 06 Oct 2024) https://radiopaedia.org/articles/2092
DOI:
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rID:
2092
Article created:
Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Last revised:
20 Sep 2021,
Jeremy Jones ◉
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
9 times, by
8 contributors -
see full revision history and disclosures
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Strawberry gallbladder refers to the surface appearance (not shape) of the mucosa of the gallbladder due to multiple small collections of triglycerides and cholesterol esters within the lamina propria of the gallbladder wall (gallbladder wall cholesterolosis).
Strawberry gallbladder represents diffuse cholesterolosis and is a common, idiopathic, non-neoplastic condition.
On this page:
Pathology
There is deposition of cholesterol esters within the lamina propria of the gallbladder wall. It may occur in two forms:
- diffuse
- localized
Radiographic features
Ultrasound
- brightly hyperechoic foci within the gallbladder wall
- no posterior acoustic shadowing
- when cholesterolosis is focal, it forms multiple small cholesterol polyps, which may show comet tail artifact
Differential diagnosis
On ultrasound consider:
-
adenomyomatosis of gallbladder
- shows thickened wall of the gallbladder
- Rokitansky-Aschoff sinuses
References
- 1. Boscak AR, Al-Hawary M, Ramsburgh SR. Best cases from the AFIP: Adenomyomatosis of the gallbladder. Radiographics. 2006;26 (3): 941-6. doi:10.1148/rg.263055180 - Pubmed citation
- 2. Rumack C, Wilson S, Charboneau JW et-al. Diagnostic ultrasound. Mosby. ISBN:0323020232. Read it at Google Books - Find it at Amazon
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