Presentation
An incidental finding in a patient with urinary complaints.
Patient Data
There is a cystic structure with a well-defined wall in the gallbladder fossa region measuring about 15 x 10 x 10 mm. There are small internal echogenic foci in its lumen. The proximal end of the common bile duct is dilated up to 9 mm. It shows gradual tapering distally without internal calculi or mass lesion. There is no dilatation of the hepatic biliary radicles. The liver shows a normal echopattern. The pancreas is normal without dilated main pancreatic duct.
Case Discussion
An elderly male presented with urinary complaints. The ultrasound shows a very small gallbladder with tiny calculi. The patient had an open cholecystectomy through a midline upper abdominal scar about 25 years back. There were no recurrent symptoms related to cholecystitis after the surgery.
The ultrasound findings favor gallbladder remnant with gallbladder calculi without cholecystitis.
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