August 2012

Abnormal flow in the gallbladder

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Clinical information

Patient conservatively treated for a cholecystitis with acute onset of severe pain in the right upper abdomen

Ultrasound Images & Clips

Abnormal flow in the gallbladder

Gallbladder of the same patient a few weeks earlier

There are stones in the neck and the gallbladderwall is slightly thickened

There is also some thickened bile in the gallbladder

Gallbladder of the same patient a few weeks later. The wall is thickened the lumen filled with echogenic material

Another part of the gallbladder with echogenic contents

With color doppler ther is a pulsatile jet into the gallbladder

arterial flow in the gallbladder

CT scan

CT scan late phase

Conclusion

Arterial hemorrhage in the gallbladder in a patient with a cholecystitis
Bleeding into the biliary tree or hemobilia is a rare cause for upper gastro-intestinal bleeding that was first described by Francis Glison in 1654. Most commonly hemobilia is the result of trauma or investigatory interventions but inflammation, vascular malformation, malignancy and coagulopathy were also described as potential causes of hemobilia.

Details

Sex: Male
Age: 87

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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