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Thickening of the gallbladder wall in ascites

โœ Scribed by Agostino Colli; Massimo Cocciolo; Guglielmo Buccino; Roberto Parravicini; Edoardo Martinez; Giovanni Rinaldi; Giancarlo Scaltrini

Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
271 KB
Volume
19
Category
Article
ISSN
0091-2751

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โœฆ Synopsis

The thickening of the gallbladder wall in patients with ascites is com- monly related to hypoalbuminemia and/or portal hypertension. To evaluate the pathogenetic role of these two factors, we correlated gallbladder wall thickness (GBWT) with the albuminemia and the serum-ascites albumin gradient (SAAG), a n index of portal hypertension, in 47 patients with ascites caused by cirrhosis of the liver or abdominal malignancy. We found a thickened gallbladder wall in 30147 patients. The correlation between GBWT and SAAG was 0.64 ( n = 47 p < 0.001). No correlation was found between GBWT and albuminemia (F-= 0.04). We suggest that the sonographic finding of ascites and gallbladder wall thickening should be considered a valuable sign of transudative ascites and of portal hypertension whatever its cause.

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