Gallbladder adenomyomatosis with intramural diverticulosis

Case contributed by Domenico Nicoletti
Diagnosis certain

Presentation

Incidental finding.

Patient Data

Age: 85 years
Gender: Female

Gallbladder shows a diffuse wall thickening with sludge, calculi and pseudo-cystic mural images. Biliary tract is not dilated.

Case Discussion

There are three macroscopic forms of adenomyomatosis: segmental, between the gallbladder neck and fundus, the fundal form limited to the fundus and the diffuse form to parietal thickening involving the entire wall. Adenomyomatosis is a benign lesion with epithelial, mucosal, and muscular hypertrophy. The gallbladder wall has a thickened appearance with diverticula that are mucosal invaginations into the muscularis of the wall.

Radiographer: TSRM Fabio Imola

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