Tensile gallbladder fundus sign

Last revised by Craig Hacking ◉ on 8 Feb 2023

Citation, DOI, disclosures and article data

Citation:

Dixon A, Hacking C, Hartung M, et al. Tensile gallbladder fundus sign. Reference article, Radiopaedia.org (Accessed on 16 Mar 2025) https://doi.org/10.53347/rID-42331

DOI:

https://doi.org/10.53347/rID-42331

Permalink:

https://radiopaedia.org/articles/42331?embed_domain=hackmd.io%25252F%252540yIPUAFeCSL2JsU8smR5nJQ%25252Fbnjhjgjghjghjghfavicon.icoradiopaedia-icon-144.png

rID:

42331

Article created:

16 Jan 2016, Andrew Dixon ◉

Disclosures:

At the time the article was created Andrew Dixon had no recorded disclosures.

View Andrew Dixon's current disclosures

Last revised:

8 Feb 2023, Craig Hacking ◉

Disclosures:

At the time the article was last revised Craig Hacking had the following disclosures:

Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)

These were assessed during peer review and were determined to not be relevant to the changes that were made.

View Craig Hacking's current disclosures

Revisions:

6 times, by 5 contributors - see full revision history and disclosures

Systems:

Hepatobiliary

Sections:

Signs

Tags:

tensile fundus sign

The tensile gallbladder fundus sign is positive when the gallbladder fundus is seen to bulge into, and distort, the anterior abdominal wall and is a feature of acute cholecystitis.

It is particularly useful as an early sign of the condition on CT as it has around a 75% sensitivity and 95% specificity for acute cholecystitis in the absence of any other CT features¹.