Gallbladder fundal adenomyomatosis and a stone

Case contributed by Mohamed Saber
Diagnosis almost certain

Presentation

Colic, epigastric pain and vomiting.

Patient Data

Age: 55 years
Gender: Male

CT study shows localized gallbladder fundal mural thickening associated with an intra-luminal stone, which has fat density.

MRI study shows gallbladder localized fundal mural thickening with T2 hyperintensity associated with an intra-luminal stone that appears as a signal void on T2WI.

Annotated image

Annotated images highlight the findings

Case Discussion

Adenomyomatosis of the gallbladder is a hyperplastic cholecystosis of the gallbladder wall. It is a relatively common and benign cause of diffuse or focal gallbladder wall thickening. Three morphological types of adenomyomatosis are described: fundal (localized), segmental (annular), and generalized (diffuse). It is most often an incidental finding and usually requires no treatment.

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