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Acute cholecystitis and biliary hamartomas

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Acute right hypochondrial pain and vomiting.

Patient Data

Age: 60 years
Gender: Male

The gallbladder wall is thickened and has increased signal intensity

Minimal pericholecystic fluid

Multiple signal void gall stones of different sizes

Normal intrahepatic and extrahepatic bile ducts (CBD: 6mm) with no evidence of choledocholithiasis.   

Multiple T1 hypointense, T2 hyperintense, non-communicating cystic lesions throughout liver parenchyma, consistent with biliary hamartomas.

Case Discussion

Acute cholecystitis refers to the acute inflammation of the gallbladder. It is the primary complication of cholelithiasis and the most common cause of acute pain in the right upper quadrant (RUQ). Multiple biliary hamartomas also are considered as rare benign malformations of the intrahepatic bile ducts.

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