Gallbladder adenomyomatosis

Case contributed by Rahul Chivate , 18 Oct 2013
Diagnosis almost certain
Changed by Brian Gilcrease-Garcia, 6 Mar 2018

Updates to Case Attributes

Body was changed:

Adenomyomatosis of gall bladdergallbladder is a rare entityrelatively common and often an incidental finding, and has no intrinsic malignant potential. It requires no specifictreatment and is often seen with gallstones. Thickening of gall bladdergallbladder wall occurs with due to hyperplasia of the muscularis mucosa and muscularis propria. Cholesterol crystals are also depositedaccumulate intraluminally within intramural diverticula known as Rokitansky-Aschoff sinuses. These results in the wall giving it strawberry gall bladder appearancecharacteristic echogenic intramural foci with V shaped or comet tail artifacts. Galbladder

Gallbladder wall thickening with stones and sludge are characteristic of adenomyomatosis.

Ultrasound is often the primary modality. Galbladder wall thickeningcommonly seen together with stones and sludge are characteristic of adenomyomatosis. Echogenic intra mural foci giving V shaped or comet tail artifacts is also characteristic feature.

ItAdenomyomatosis can be difficult to differentiate it from cholesterosisof gall bladder. However gall bladdergallbladder; however, wall thickening is not present in the latter diagnosis.

  • -
  • -
  • -<p><a title="Adenomyomatosis of gallbladder" href="/articles/adenomyomatosis-of-the-gallbladder">Adenomyomatosis</a> of gall bladder is a rare entity and often
  • -an incidental finding and has no intrinsic malignant potential. It requires no specific
  • -treatment and is often seen with gallstones. Thickening of gall bladder wall occurs with hyperplasia of the muscularis mucosa and propria. Cholesterol crystals are
  • -also deposited in the wall giving it strawberry gall bladder appearance.
  • -Galbladder wall thickening with stones and sludge are characteristic of
  • -adenomyomatosis.</p>
  • -
  • -<p>Ultrasound is often the primary modality. Galbladder wall thickening with
  • -stones and sludge are characteristic of adenomyomatosis. Echogenic intra mural
  • -foci giving V shaped or comet tail artifacts is also characteristic feature.</p>
  • -
  • -<p>It can be difficult to differentiate it from cholesterosis
  • -of gall bladder. However gall bladder wall thickening is not present.</p>
  • +<p><a href="/articles/adenomyomatosis-of-the-gallbladder">Adenomyomatosis</a> of gallbladder is a relatively common and often incidental finding, and has no intrinsic malignant potential. It requires no specific treatment and is often seen with gallstones. Thickening of gallbladder wall occurs due to hyperplasia of the mucosa and muscularis propria. Cholesterol crystals accumulate intraluminally within intramural diverticula known as Rokitansky-Aschoff sinuses. These results in the characteristic echogenic intramural foci with V shaped or comet tail artifacts.</p><p>Gallbladder wall thickening with stones and sludge are commonly seen together with adenomyomatosis. </p><p>Adenomyomatosis can be difficult to differentiate from cholesterosis of gallbladder; however, wall thickening is not present in the latter diagnosis.</p>

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