Diffuse gallbladder wall thickening - acute hepatitis

Case contributed by Neguib Rosado Buenfil


A 30 years old female presented with right upper quadrant pain and mild jaundice

Patient Data

Age: 30 years
Gender: Female

Longitudinal and transversal sonogram of a non-distended gallbladder, showing a diffuse thickening of the wall with hypoechoic/edematous appearance in absence of gallstones or pericholecystic fluid.

Case Discussion

A thickened gallbladder wall (measures more than 3 mm)  in conjunction with a diffusely hypoechogenic liver with prominent portal triads (“starry sky” appearance) suggest the diagnosis of acute hepatitis.

In previous reports, the incidence of gallbladder wall thickening in patients with acute hepatitis was 51%. In this patient the HAV IgM antibody test was positive.

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