Gall Bladder Wall Cyst [ Possibly Submucous Cyst ]: An Ultrasound Diagnosis
A 22yrs old female presented with h/o vague upper abdominal pain , was examined with ultrasound showed - a well defined smooth & regular walled oval shaped cystic lesion bulging within gall bladder lumen near neck as hypoechoic filling defect . The lesion appears to be involving anterior wall of gall bladder near neck with bulging mucosa within lumen & showed low level homogeneous internal echos[may be altered mucoid fluid ] , & did not reveal internal vascularity on Doppler [ fig 1 & 2]. The 3-D reconstruction image further confirmed the lesion to be mural & cystic lodged near gb neck [fig 3 & 4]. No any other evidence of cholecystitis or wall abnormality or calculi was seen. No pericholecystic fluid or biliary tree dilatation was present. Case by: Subhash Tailor, MD, Bhilwara [ Rajasthan]
On the basis of classical US findings a diagnosis of ‘ gall bladder wall cyst’ was made , possibly containing altered fluid [may be mucoid or hemorrhagic or infected ]. This appears to be a very uncommon &rare ultrasound finding, related to gall bladder pathologies, observed during routine scan , & may be an incidentally detected clinically insignificant lesion , yet important to depict , & put up in gall bladder image gallery. Opinion & comments are welcome.
Gall Bladder Wall Cyst [ Possibly Submucous Cyst ]: An Ultrasound Diagnosis Reviewed by Sumer Sethi on Monday, April 29, 2013 Rating: