Diffuse gallbladder wall thickening (differential)

Diffuse

gallbladder wall thickening (differential) • Gallbladder empyema - Ganzer Fall bei Radiopaedia

Diffuse

gallbladder wall thickening (differential) • Acute cholecystitis - Ganzer Fall bei Radiopaedia

Diffuse

gallbladder wall thickening (differential) • Diffuse gallbladder wall thickening - hepatitis - Ganzer Fall bei Radiopaedia

Diffuse

gallbladder wall thickening (differential) • Dengue fever - Ganzer Fall bei Radiopaedia

Diffuse

gallbladder wall thickening (differential) • Reactive gallbladder wall thickening - Ganzer Fall bei Radiopaedia

Diffuse thickening of the gallbladder wall can occur in a number of situations:

cholecystitis
postprandial physiological state (pseudothickening)
- gallbladder overall decompressed
secondary thickening
- hepatic cirrhosis
- hepatitis
- congestive right heart failure
- Fitz-Hugh-Curtis syndrome
- hypoalbuminemia
- ascites
- other acute inflammatory process in the right upper quadrant
  - acute pancreatitis
  - perforated duodenal ulcer
  - peritonitis
- primary sclerosing cholangitis
  - rarely a direct cause - mostly in the setting of concurrent hypoalbuminemia and/or liver failure
  - gallbladder wall thickening related to involvement of primary sclerosing cholangitis is controverial
- gallbladder perforation
- brucellosis
- AIDS cholangiopathy
- severe pyelonephritis
- renal failure
gallbladder carcinoma
- a minority present as focal or diffuse wall thickening (20-30%)
- suspicious features include marked asymmetric wall thickening and irregularity
diffuse adenomyomatosis of the gallbladder
- associated with classic comet tail artifact
- associated with epithelial enhancement on CT
hemophagocytic lymphohistiocytosis (HLH)