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Sonographic hepatization of the gallbladder: A cause of nonvisualization of the gallbladder by cholecystosonography

✍ Scribed by James W. Reinig; John H. Stanley

Publisher: John Wiley and Sons
Year: 1984
Tongue: English
Weight: 268 KB
Volume: 12
Category: Article
ISSN: 0091-2751
DOI: 10.1002/jcu.1870120414

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✦ Synopsis

Nonvisualization of the gallbladder by ultrasound is considered highly suggestive of gallbladder pathology.' In several reviews, an abnormal gallbladder was found in 88%-100% of patients in which the gallbladder was not seen by grayscale ~onography.'-~ It has been demonstrated that exceptionally thick bile can produce a sonographic image as echogenic as the adjacent liver.* We present three cases in which a normal gallbladder was full of echogenic bile, resulting in an appearance that was the same as the liver. Gray-scale sonography failed to demonstrate the gallbladders, but careful real-time examination could identify all three, thus preventing erroneous diagnosis of gallbladder pathology.

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