Presentation
Long standing upper abdominal pain with recurrent vomiting.
Patient Data
Gender: Male
From the case:
Hepatisation of the gallbladder
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Mildly distended gallbladder showing internal fully turbid echogenic bile.
The gallbladder wall looks normal. No internal stones could be noted.
CBD shows normal diameter.
Case Discussion
Hepatisation of the gallbladder is usually well seen on ultrasound. It occurs when the gallbladder content appears echogenic, similar to hepatic parenchyma. It is usually seen in cases of longstanding bile stasis whatever the cause, e.g. post-infection, with and without stones and even incidentally.