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Gallbladder Wall Thickening – Differential Diagnosis

History: 55 year old male with right upper quadrant pain.  The normal gallbladder wall should measure 3 mm or less on ultrasound imaging. The differential diagnosis for diffuse gallbladder wall thickening includes cholecystitis, hepatitis, volume overload states such as heart failure, liver failure, and renal failure, hypoproteinemia, portal hypertension, and more rare causes such as…

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History: 55 year old male with right upper quadrant pain. 

Ultrasound image of the right upper quadrant of the abdomen reveals a thickened gallbladder wall measuring over 6 mm in thickness. Free fluid is also seen surrounding the liver.
Gallbladder wall thickening: Ultrasound image of the right upper quadrant of the abdomen reveals a thickened gallbladder wall measuring over 6 mm in thickness. Free fluid is also seen surrounding the liver.

The normal gallbladder wall should measure 3 mm or less on ultrasound imaging. The differential diagnosis for diffuse gallbladder wall thickening includes cholecystitis, hepatitis, volume overload states such as heart failure, liver failure, and renal failure, hypoproteinemia, portal hypertension, and more rare causes such as gallbladder carcinoma, AIDS cholangiopathy, cholangitis, hyperplastic cholecystosis, adenomyomatosis, and porcelain gallbladder.

3 responses to “Gallbladder Wall Thickening – Differential Diagnosis”

  1. Gallbladder Adenomyomatosis | RadiologyPics.com Avatar
    Gallbladder Adenomyomatosis | RadiologyPics.com

    […] Read about the differential diagnosis of gallbladder wall thickening here. […]

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    Solution to Unknown #26 – Metastatic Melanoma to Gallbladder | RADIOLOGYPICS.COM

    […] are usually hyperenhancing. The differential diagnosis in this case would include other causes of gallbladder wall thickening. These include benign gallbladder polyps, adenomyomatosis, polypoid gallbladder carcinoma, and […]

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    Solution to Unknown Case #28 – Acute Cholecystitis on CT | RADIOLOGYPICS.COM

    […] See the differential diagnosis of gallbladder wall thickening here. […]

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