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Case 3.4 

Case 3.4
Chapter:
Case 3.4
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0074
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date: 15 October 2019

32-year-old man with chronic hepatitis C and recent elevation of liver enzyme levels

Axial SSFSE (Figure 3.4.1) and fat-suppressed SSFP (Figure 3.4.2) images demonstrate marked diffuse thickening of the gallbladder wall.

Hepatitis with marked gallbladder wall thickening

Gallbladder wall thickening is associated with a large number of pathologic conditions, including cirrhosis, acute and chronic cholecystitis, ascites, hypoalbuminemia, viral hepatitis, chronic renal failure, and heart failure. The physiologic mechanism responsible for diffuse gallbladder thickening in the presence of systemic or diffuse hepatic disease is uncertain but probably is related to elevated portal venous pressure or decreased intravascular osmotic pressure, or both....

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