GB and Biliary Pathology
Pain, bleeding, jaundice indicate?
Hemobilia
What is also known as the Strawberry Gallbladder?
Cholesterolosis or Cholesterol polyps
A stone impacted in the cystic duct or the neck of the GB
Mirizzi Syndrome
Patient presents with RUQ pain radiating to the shoulder, positive Murphy's sign, nausea, vomiting, and fever. Lab Values include: elevated serum bilirubin, elevated serum transaminase, Aklaline Phosphatase. What is this indicate?
Acute cholecystitis
What appears as a non-shadowing, slow-moving, mobile echo within the GB Lumen?
Biliary Sludge
bacterial, primary sclerosing, AIDs related, Recurrent pyogenic
What is Adenomyomatosis?
hyperplasia of GB wall or benign proliferation of GB wall tissue
cholangiocarcinoma at the right and left hepatic bifurcation
Klatsin's Tumor
Patient presents with fever, chills, and RUQ pain. What does this indicate?
Empyema
What appears contracted GB with cholelithiasis, non-functioning, hyperechoic thickened wall, irregular wall thickening, and sludge?
Chronic cholecystitis
Enlarged Lymph nodes in the area of the porta hepatis put pressure on the bile ducts and cause dilation in the proximal and intrahepatic ducts
Lymphadenopathy
Gallstones
Acute onset of RUQ pain, biliary colic, jaundice, vague intestinal disturbances, weight loss, anorexia, and palpable abdominal mass in the RUQ. Lab values: increased serum bilirubin and increased ALP. What does this indicate?
Cholangiocarcinoma
Patient presents with sudden progressive RUQ pain, fever, nausea, and vomiting. What does this indicate?
Emysematous Cholecystitis
What has a similar sonographic appearance as cholecystits except no stones will be seen?
Acute acalculous Cholecystitis
Distended, non-inflamed GB due to total prolonged obstruction of the cystic duct
Hydrops of the GB
biliary-enteric fistula forms between the GB and duodenum
Pt presents with jaundice, biliary colic, cholangitis, RUQ pain, chills, fever, hepatomegaly, and elevated bilirubin. Lab values show: elevated bilirubin, increased ALP, and increased transaminase. What does this indicate?
Choledocholithiasis
What would present as usually asymptomatic but occasionally RUQ pain, nausea, or vomiting?
GB polyps
what has focal wall thickening, irregular wall borders, gallstones may be trapped within the mass, fuhatiing poypoid
Ultrasound Appearance of GB Carcinoma
Rare calcium incrustation of the GB associated with cholelithiasis
Porcelain GB
What is Xanthogranulomatous Cholecystitis?
Rare inflammatory disease of the GB characterized by infiltration of round lipid-laden histiocytes and multiple nucleated giant cells. Proliferation of fibroblasts in the muscle layer.
Type V of Choledochal Cysts
Caroli's disease
Pt presents with RUQ pain, nausea, vomiting, fever, with elevated WBC and abnormal LFTs
GB wall perforation
Gangerous Cholecystitis.