Acute hepatitis: diffuse gallbladder wall thickening

Case contributed by Dr Prat-Matifoll

Presentation

Epigastric abdominal pain for more than a week. No fever associated.

Patient Data

Age: 34
Gender: Male

Thickening of 1.5cm of the gallbladder wall with hypoechoic areas in the wall, suggesting wall edema.

There were no associated collections, cholelithiasis, biliary sludge or biliary ductal dilatation. Diffusely increased echogenicity of a homogeneous liver parenchyma.

Case Discussion

Sometimes it is difficult to assess the wall thickness of a gallbladder that is not distended.

But as appreciated in this case, this finding cannot be dismissed, and should be related to clinical findings. We suggested to that this may be due to acute hepatitis instead of cholecystitis or choledocholithiasis.

Blood test:

  • IgM VHA -
  • HBsAg +
  • Ig M antiHBc +
  • antiVHC -
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Case information

rID: 32976
Case created: 23rd Dec 2014
Last edited: 9th Nov 2016
Inclusion in quiz mode: Included

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