Ceftriaxone excretion into gallbladder

Discussion:

Considering the given history of ceftriaxone therapy, the newly appearing echogenic gallbladder contents is attributed to biliary excretion of ceftriaxone (gallbladder pseudolithiasis). Follow up is recommended to confirm if this resolves or persists, which can be a nidus for gallstones. Ceftriaxone also could affect the contractility of the gallbladder. The abdominal pain is most likely due to mesenteric adenitis in this case.

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