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Abdomen and retroperitoneum | 1.2 Gallbladder and bile ducts
Case 1.2.1 Gallbladder
Gallstones


Rolling stones:
Mobile gallstones only visible in the left decubitus view
Rolling stones:
Mobile gallstones that could be missed when the patient is only examined in supine position
Rolling stones:
Small mobile gallstone cineloop
Rolling stones:
Mobile gallstones
Rolling stones:
Multiple gallstones
Rolling stones:
Small layer of gallstones or sludge
Gallstones aspect:
Cholelithiasis with multiple angular gallstones
Gallstones aspect:
Mobile gallstones, echogenic bile and a slightly thickened gallbladder wall
Gallstones aspect:
Large gallstone in the neck of the gallbladder
Gallstones aspect:
Gallstone in the neck of the gallbladder that could easily be missed
Gallstones aspect:
Cholelithiasis with mobile gallstones in the gallbadder
Gallstones aspect:
Cholelithiasis with mobile gallstones in the gallbadder
Gallstones aspect:
Gallbladder filled with multiple small gallstones that do not cause acoustic shadowing
Gallstones aspect:
Multiple small mobile gallstones
Gallstones aspect:
Thin layer of tiny gallstones
Gallstones aspect:
Cholelithiasis with large mobile gallstone in the gallbadder (*1) and cholesterol crystal (*2) in the wall
Gallstones aspect:
Cholelithiasis with a small layered gallstone in the gallbadder
Gallstones aspect:
Cholelithiasis with a small mobile gallstone in the neck of the gallbadder
Floating gallstones:
Cholelithiasis with multiple floating and non floating small mobile gallstones in the gallbadder
Floating gallstones:
Cholelithiasis with multiple floating and non floating small mobile gallstones in the gallbadder
Floating gallstones:
Gallstones with floating and non floating stones. The floating stone could be misinterpreted as a polyp.
Floating gallstones:
Cholelithiasis with multiple floating small gallstones in the gallbadder
Floating gallstones:
Cholelithiasis with a layer of multiple floating small gallstones in the gallbadder
Floating gallstones:
Gallbladder with floating stones and milk of calcium bile
Floating gallstones:
Floating and non floating gallstones
Floating gallstones:
Floating and non floating gall stones
Floating gallstones:
Air containing floating gallstone that could be mistaken for free air in the gallbladder
Wes triad:
Cholelithiasis with a gallbadder flilled with gallstones Wall echo shadow (WES) triad
Wes triad:
Wes triad:  WES triad (Wall Echo Shadow) with a gallbladder filled with a large stone
Wes triad:
Wes triad:  WES triad (Wall Echo Shadow) with a gallbladder filled with stones in a patient with a fatty liver
Wes triad:
WES triad (wall echo shadow) with a gallbladder filled with small stones
Wes triad:
WES triad (Wall Echo Shadow) with a gallbladder filled with stones
Wes triad:
Cholelithiasis with a gallbadder flilled with gallstones
Wes triad:
Cholelithiasis with a gallbadder flilled with gallstones. Wall echo shadow (WES) triad.
Pitfalls:
Sludge filled gallbladder with a large obstructing stone in the neck that could easily be missed by overlying bowel gas
Pitfalls:
Contracted gallbladder with stones that could easily be missed. The thickened wall is not caused by inflammation but contraction
Pitfalls:
Layer of tiny gallstones that could easily be overlooked
Pitfalls:
Contracted gallbladder with stones that could easily be missed. One in a phrygian cap and one in the neck
Pitfalls:
Small gallbladder with a thick wall and thickened bile. The stone in the neck could easily be missed
Unusual cases:
Gallbladder with a layer of small stones and numerous floating crystals
Unusual cases:
Gallstones in the gallbladder
Unusual cases:
Patient with a cholecystitis and a stone in the cystic duct that was not removed during a difficult cholecystectomy and finally passed to th ...
Unusual cases:
Retained gallstones perihepatic after a rupture of the gallbladder during an endoscopic cholecystectomy
Unusual cases:
Retained gallstones next to the liver after a percutaneous cholecystectomy
Rolling stones:
Mobile gallstones only visible in the left decubitus view
Rolling stones:
Mobile gallstones that could be missed when the patient is only examined in supine position
Rolling stones:
Small mobile gallstone cineloop
Rolling stones:
Mobile gallstones
Rolling stones:
Multiple gallstones
Rolling stones:
Small layer of gallstones or sludge
Gallstones aspect:
Cholelithiasis with multiple angular gallstones
Gallstones aspect:
Mobile gallstones, echogenic bile and a slightly thickened gallbladder wall
Gallstones aspect:
Large gallstone in the neck of the gallbladder
Gallstones aspect:
Gallstone in the neck of the gallbladder that could easily be missed
Gallstones aspect:
Cholelithiasis with mobile gallstones in the gallbadder
Gallstones aspect:
Cholelithiasis with mobile gallstones in the gallbadder
Gallstones aspect:
Gallbladder filled with multiple small gallstones that do not cause acoustic shadowing
Gallstones aspect:
Multiple small mobile gallstones
Gallstones aspect:
Thin layer of tiny gallstones
Gallstones aspect:
Cholelithiasis with large mobile gallstone in the gallbadder (*1) and cholesterol crystal (*2) in the wall
Gallstones aspect:
Cholelithiasis with a small layered gallstone in the gallbadder
Gallstones aspect:
Cholelithiasis with a small mobile gallstone in the neck of the gallbadder
Floating gallstones:
Cholelithiasis with multiple floating and non floating small mobile gallstones in the gallbadder
Floating gallstones:
Cholelithiasis with multiple floating and non floating small mobile gallstones in the gallbadder
Floating gallstones:
Gallstones with floating and non floating stones. The floating stone could be misinterpreted as a polyp.
Floating gallstones:
Cholelithiasis with multiple floating small gallstones in the gallbadder
Floating gallstones:
Cholelithiasis with a layer of multiple floating small gallstones in the gallbadder
Floating gallstones:
Gallbladder with floating stones and milk of calcium bile
Floating gallstones:
Floating and non floating gallstones
Floating gallstones:
Floating and non floating gall stones
Floating gallstones:
Air containing floating gallstone that could be mistaken for free air in the gallbladder
Wes triad:
Cholelithiasis with a gallbadder flilled with gallstones Wall echo shadow (WES) triad
Wes triad:
Wes triad:  WES triad (Wall Echo Shadow) with a gallbladder filled with a large stone
Wes triad:
Wes triad:  WES triad (Wall Echo Shadow) with a gallbladder filled with stones in a patient with a fatty liver
Wes triad:
WES triad (wall echo shadow) with a gallbladder filled with small stones
Wes triad:
WES triad (Wall Echo Shadow) with a gallbladder filled with stones
Wes triad:
Cholelithiasis with a gallbadder flilled with gallstones
Wes triad:
Cholelithiasis with a gallbadder flilled with gallstones. Wall echo shadow (WES) triad.
Pitfalls:
Sludge filled gallbladder with a large obstructing stone in the neck that could easily be missed by overlying bowel gas
Pitfalls:
Contracted gallbladder with stones that could easily be missed. The thickened wall is not caused by inflammation but contraction
Pitfalls:
Layer of tiny gallstones that could easily be overlooked
Pitfalls:
Contracted gallbladder with stones that could easily be missed. One in a phrygian cap and one in the neck
Pitfalls:
Small gallbladder with a thick wall and thickened bile. The stone in the neck could easily be missed
Unusual cases:
Gallbladder with a layer of small stones and numerous floating crystals
Unusual cases:
Gallstones in the gallbladder
Unusual cases:
Patient with a cholecystitis and a stone in the cystic duct that was not removed during a difficult cholecystectomy and finally passed to th ...
Unusual cases:
Retained gallstones perihepatic after a rupture of the gallbladder during an endoscopic cholecystectomy
Unusual cases:
Retained gallstones next to the liver after a percutaneous cholecystectomy
Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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