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Gallbladder pseudolithiasis induced by cephalosporin

Case contributed by Maulik S Patel
Diagnosis probable

Presentation

The patient was on a drug from the cephalosporin class prior to an abdominal ultrasound.

Patient Data

Age: 7 years
Gender: Male

US at presentation

ultrasound

The gallbladder is contracted with an edematous wall. There are echogenic foci in the gallbladder lumen without posterior acoustic shadowing. 

US 1 wk after discont...

ultrasound

US 1 wk after discontinuation of the antimicrobial agent

The gallbladder is distended with normal wall thickness. It shows anechoic lumen.

Case Discussion

A child with fever had an ultrasound. The USG showed sludge in the gallbladder. The patient was on a cephalosporin-class agent pre-USG.

Follow up ultrasound one week after discontinuation of the agent showed the absence of gall bladder sludge/pseudolithiasis.

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