strawberry gallbladder

Strawberry gallbladder refers to the surface appearance (not shape) of the mucosa of the gallbladder due to multiple small collections of triglycerides and cholesterol esters within the lamina propria of the gallbladder wall (gallbladder wall cholesterolosis).

Strawberry gallbladder represents diffuse cholesterolosis and is a common, idiopathic, non-neoplastic condition.

Pathology

There is deposition of cholesterol esters within the lamina propria of the gallbladder wall. It may occur in two forms:

• diffuse
• localized

Radiographic features

Ultrasound

• brightly hyperechoic foci within the gallbladder wall
• no posterior acoustic shadowing
• when cholesterolosis is focal, it forms multiple small cholesterol polyps, which may show comet tail artifact

Differential diagnosis

On ultrasound consider:

• adenomyomatosis of gallbladder
  • shows thickened wall of the gallbladder
  • Rokitansky-Aschoff sinuses

Siehe auch:

• Gallenblase
• cholesterol polyps

und weiter:

• fruit inspired signs