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Wall-Echo-Shadow Sign

Case contributed by Dr. Luis David Gómez Moscoso


Abdominal pain and nausea.

Patient Data

Age: 25 years
Gender: Female

Wall-echo-shadow sign is seen within the gallbladder fossa because of a large gallstone occupying the lumen of a contracted gallbladder.

Case Discussion

The 'wall-echo-shadow' appearance is demonstrated due to:

  • a curvilinear hyperechogenic line representing the gallbladder wall
  • a thin hypoechoic space representing a small amount of bile
  • a curvilinear hyperechogenic line representing the near surface of gallstone(s)
  • and acoustic shadowing distal to the surface of the gallstone(s)
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Case information

rID: 71340
Published: 3rd Dec 2019
Last edited: 3rd Dec 2019
Inclusion in quiz mode: Excluded
Institution: Hospital Roosevelt, Guatemala City

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