Gallbladder adenomyomatosis

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

Right upper quadrant pain

Patient Data

Age: 50 years
Gender: Female
ultrasound

Thickened gallbladder wall. Streaky echogenic lines from the anterior GB wall in keeping with comet-tail artifact. No gallstones.

Case Discussion

The comet-tail artifact is a type of ultrasound reverberation artifact caused by cholesterol crystals being trapped within Rokitansky-Aschoff sinuses in gallbladder adenomyomatosis.

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