[The sonographic image of gallbladder adenomyomatosis]

Brambs HJ, H J Brambs, Wrazidlo W, W Wrazidlo, H Schilling, Schilling H
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin · 1990 · vol. 153(6) , pp. 633–6 · doi:10.1055/s-2008-1033455 · PMID:2176313
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Sonography diagnosed gallbladder adenomyomatosis in nine patients by identifying thickened gallbladder walls with smooth contours, small cysts, or echogenic areas, distinguishing it from inflammatory or neoplastic conditions by its contractility.

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This study evaluates the diagnostic accuracy of ultrasound for identifying gallbladder adenomyomatosis, comparing it against cholecystography and surgical confirmation. The researchers analyzed a cohort of patients where the condition was either primarily diagnosed via sonography or discovered incidentally during ERCP procedures. Key sonographic features identified include localized or generalized thickening of the gallbladder wall with smooth contours, often accompanied by small cystic structures or echogenic inclusions. Maintained gallbladder contractility serves as a critical criterion for distinguishing this benign condition from inflammatory or neoplastic causes of mural thickening. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Compared with oral or intravenous cholecystography, a diagnosis of adenomyomatosis of the gall bladder is only rarely made by ultrasound. In nine patients this diagnosis was made by sonography and confirmed at operation or by cholecystography. In four patients it was an incidental finding during ERCP. The main feature is localised or generalised thickening of the wall of the gall bladder with a smooth outer contour. In seven cases there were small cysts in the wall and in two echogenic areas in the wall. An important criterion for distinguishing between inflammatory and neoplastic mural thickening is the contractility of the gall bladder.
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Subscribe to RSS DOI: 10.1055/s-2008-1033455 Sonographisches Bild der Adenomyomatose der Gallenblase The sonographic appearances of adenomyomatosis of the gall bladderPublication History Publication Date: 20 March 2008 (online) Zusammenfassung Im Ultraschall wird die Diagnose einer Adenomyomatose der Gallenblase im Vergleich zur oralen oder intravenösen Cholezystographie sehr selten gestellt. Bei 9 Patienten wurde primär sonographisch eine Adenomyomatose diagnostiziert und durch Operation oder Cholezystographie bestätigt. Bei 4 Patienten handelte es sich um einen Nebenbefund bei einer ERCP, der sonographisch nachvollzogen werden konnte. Das Hauptmerkmal ist die umschriebene oder generalisierte Verdickung der Gallenblasenwand mit glatten Außenkonturen. In 7 Fällen wurden kleinzystische Wandstrukturen, in 2 Fällen echodichte Wandeinschlüsse gefunden. Ein wichtiges Kriterium zur Abgrenzung entzündlicher oder tumoröser Wandverdickungen ist die erhaltene Kontraktionsfähigkeit der Gallenblase. Summary Compared with oral or intravenous cholecystography, a diagnosis of adenomyomatosis of the gall bladder is only rarely made by ultrasound. In nine patients this diagnosis was made by sonography and confirmed at operation or by cholecystography. In four patients it was an incidental finding during ERCP. The main feature is localised or generalised thickening of the wall of the gall bladder with a smooth outer contour. In seven cases there were small cysts in the wall and in two echogenic areas in the wall. An important criterion for distinguishing between inflammatory and neoplastic mural thickening is the contractility of the gall bladder. Schlüsselwörter Adenomyomatose der Gallenblase - Ultraschall Key words Adenomyomatosis of the gall bladder - Ultrasound

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Gallbladder Neoplasms Cholangiopancreatography, Endoscopic Retrograde Cholangiopancreatography, Endoscopic Retrograde Cholecystography Cholecystography Endometriosis Endometriosis Female Female Gallbladder Gallbladder Gallbladder Gallbladder Neoplasms Gallbladder Neoplasms Humans Humans Male Male Ultrasonography

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