Sludge or hemobilia in the gallbladder leading to gallstone formation

Sludge in the gallbladder without stones

Bookmark

Clinical information

Pain in the right upper abdomen

Ultrasound Images & Clips

Sludge in the gallbladder without stones

Sludge or hemobilia

ERCP

An ERCP showed no stones in the common bile duct. A papillotomy was performed for a papil spasm.

A repeated ERCP because of pain and increased liver function showed dilatation and a distal bile duct stone

The same patient 1 month later. The sludge has disappeared but there is now a cholecystitis with mobile gallstones and a thickened gallbladderwall. There is also a mild pancreatitis.

Gallstones and a thickened gallbladderwall

Cholecystitis with hypervascularity of the wall

Non dilatated common bile duct with slightly thickened wall

Gallstones and a thickened gallbladderwall transverse

Cholecystitis with hypervascularity of the wall transverse

The same patient 1 month later. The sludge has disappeared but there is now a cholecystitis with mobile gallstones and a thickened gallbladderwall. There is also a mild pancreatitis.

Pancreatitis transverse

Details

Sex: Female
Age: 22
Body part: Gallbladder

Created with

Fujifilm Ultrasound System

Browse through our ultrasound product portfolio

Looking for MSK Ultrasound Education? Visit Sonoskills.com

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.

More Cases from Taco Geertsma

[{"listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum","id":63},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system","id":64},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology","id":65},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck","id":66},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla","id":67},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons","id":68},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft tissues","id":69},{"listLocation":"thorax","icon":"008-thorax-white.svg","header":"Thorax","id":70},{"listLocation":"pediatrics","icon":"009-pediatrics-white.svg","header":"Pediatrics","id":71},{"listLocation":"peripheral-vessels","icon":"010-peripheral-vessels-white.svg","header":"Peripheral vessels","id":72}]