Hepatisation of the gallbladder
Long standing upper abdominal pain with recurrent vomiting.
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Mildly distended gallbladder showing internal fully turbid echogenic bile.
The gallbladder wall looks normal. No internal stones could be noted.
CBD shows normal diameter.
Hepatisation of the gallbladder is usually well seen on ultrasound. It occurs when the gallbladder content appears echogenic, similar to hepatic parenchyma. It is usually seen in cases of longstanding bile stasis whatever the cause, e.g. post infection, with and without stones and even incidentally.