Home

Gallbladder wall thickening reasons

Gallbladder bei Amazon

Aktuelle Buch-Tipps und Rezensionen. Alle Bücher natürlich versandkostenfre Why Pay More? Save On Your Favourite Brand Labels Today With Saks Off 5th. Get Express International Delivery To Your Door. Shop At Saks OFF 5th Today Gallbladder wall thickening can be caused by inflammatory, benign, and malignant etiologies. Pseudothickening caused by the normal postprandial state of the contracted gallbladder is also extremely common 5

Bumble and Bumble BB Thickening Dryspun Texture Spray on SAL

  1. emia and sepsis are additional causes of gallbladder wall thickening
  2. -emia and sepsis are additional causes of gall-bladder wall thickening. The degree of gall
  3. Thickening of the gallbladder wall is always abnormal, although the significance of the thickening is highly dependent upon the underlying disease process. It can be caused by multiple factors and conditions including renal failure, liver failure heart failure, ascites, hypoproteinemia, and inflammation

Maybe: If your gallbladder has stones or sludge (which can lead to obstruction of bile flow out of the gallbladder, and cause thickened gallbladder wall), th.. There are multiple etiologies for gallbladder wall thickening including generalized edematous states (congestive heart failure, renal failure, hypoalbuminemia, cirrhosis), gallbladder inflammation (cholecystitis or secondary inflammation from acute hepatitis), neoplasm (gallbladder adenocarcinoma, metastasis), and adenomyomatosi

Diffuse thickening of the gallbladder wall can occur in a number of situations: cholecystitis. acute cholecystitis. chronic cholecystitis. gallbladder empyema 7. xanthogranulomatous cholecystitis 11. acalculous cholecystitis 11. postprandial physiological state (pseudothickening) gallbladder overall decompressed Among the different diseases that cause gallbladder walls thickening besides acute cholecystitis, pancreatitis, diverticulitis, heart failure, pyelonephritis and hepatitis can be mentioned. One may also ask, can gallbladder wall thickening be reversed The thickened walls indicate it's irritated. If it's so irritated that the walls are thick you could have sludge in it, very, very small stones, like granular mud, that don't show up. Even if you try to take supplements that supposedly heal your gallbladder and dissolve the stones, they don't work for most people

Gallbladder wall thickening Radiology Reference Article

: Thickening of the gallbladder wall may indeed indicate evidence of a more serious gb attack, however it's a pretty nonspecific finding; for example, i.. Causes. Cholecystitis occurs when your gallbladder becomes inflamed. Gallbladder inflammation can be caused by: Gallstones. Most often, cholecystitis is the result of hard particles that develop in your gallbladder (gallstones). Gallstones can block the tube (cystic duct) through which bile flows when it leaves the gallbladder

That is not symptom of gall bladder thickening,female with 40 s and having fatty food is much likely to have cholecystitis and gall bladder thickening. Hope I have answered your query. Let me know if I can assist you further. I find this answer helpfu Gallbladder wall thickening (3 mm or greater) is a nonspecific finding with many causes. We describe two cases caused by infectious mononucleosis. Other causes of gallbladder wall thickening are described and the literature is reviewed. We suggest that the finding of gallbladder wall thickening in a A normal gallbladder can exhibit a thickened wall of 4-5mm due to contraction alone. Typically this will occur in the setting of a lower-than-normal gallbladder volume. For the rest, hypoalbuminemia is a major culprit in gallbladder wall thickening; alone or as a secondary mechanism in patients with cirrhosis, heart failure or renal disease Scarring of the bladder wall may also cause it to thicken. Common causes of bladder wall thickening include: Inflammation due to urinary tract infection (UTI) A UTI is often the result of bacteria..

Thickened gallbladder wall . Thickening of the gallbladder wall is a relatively frequent finding at diagnostic imaging studies. A thickened gallbladder wall measures more than 3 mm, typically has a layered appearance at sonography [1], and at CT frequently contains a hypodense layer of subserosal oedema that mimics pericholecystic fluid [2 Acute acalculous gallbladder disease, which can cause the gallbladder to become thickened and distended, is characterized by a sudden inflammation of the gallbladder wall. Symptoms include pain.. It helps identify signs of inflammation in your gallbladder, the presence of gallstones, and thickening or swelling of the gallbladder wall. Hepatobiliary nuclear imaging (HIDA scan): This is an imaging test that involves an injected radioactive substance. A gamma camera sees the radiation as it moves through the different tracts of the. Other causes of cholecystitis include bile duct problems, tumors, serious illness and certain infections. Both gallbladder wall thickening (>3 mm) and pericholecystic fluid are secondary findings. Other less specific findings include gallbladder distension and sludge In very severe cases, an inflamed gallbladder can cause erosion in the wall of the gallbladder, leading to a perforation that leaks the contents of the gallbladder into the abdominal cavity. This..

Gallbladder wall thickening is a frequently detected finding on sonography in the day‐to‐day practice of abdominal sonography. Differentiating between commonly observed causes of diffuse gallbladder wall thickening such as chronic cholecystitis, acute cholecystitis, gallbladder carcinoma and other nonspecific causes such as ascites, congestive heart failure, and hypoalbuminemia can be. What does the gallbladder do? The gallbladder is a storage pouch for bile, a liquid that aids digestion. The liver continually makes bile, which is stored in the gallbladder until you eat. When you consume food, the stomach releases a hormone that causes the muscles around the gallbladder to contract and release the bile The adjacent gallbladder wall characteristically maintains a normal thickness of less than 3 mm. Focal gallbladder wall thickening adjacent to a polypoid mass increases the probability of malignancy. Gallstones are common in patients with gallbladder adenomas. Positron Emission Tomography With Computed Tomograph

Gallbladder Wall Thickening : American Journal of

Gallbladder Wall Thickenin

The gallbladder is a digestive system organ that stores and releases bile to digest fat. Gallstones can block its connection to the liver, causing acute inflammation called cholecystitis. Symptoms. Other causes of gallbladder wall thickening include regional inflammation (eg, hepatitis) and systemic diseases (eg, heart failure and low-protein states). Chronic inflammatory conditions associated with gallstones include chronic and xanthogranulomatous cholecystitis. Chronic cholecystitis manifests with wall thickening at US and dysmotility. While in Florida I had a very painful attack and went to the emergency ward of our local hospital. When my home physician read the tests he said gallbladder. I have seen the tests and they say clear gallbladder but thickened wall. The ejection fraction was 8%. I have all the symptoms and have had subsequent attacks when I'm a bad boy Gallbladder inflammation. Also called cholecystitis, this can happen for several reasons, including trauma, illness, infection, tumors or when bile builds up in your gallbladder from gallstones Gallbladder adenomyomatosis (GA) is a benign alteration of the gallbladder wall that can be found in up to 9% of patients. GA is characterized by a gallbladder wall thickening containing small bile-filled cystic spaces (i.e., the Rokitansky-Aschoff sinuses, RAS)

Wall Thickening Gallbladde

The course of cholelithiasis varies among individuals. Most people with cholelithiasis have no symptoms at all. A minority of patients with gallstones develop symptoms: severe abdominal pain, nausea and vomiting, and complete blockage of the bile ducts that may pose the risk of infection. Cholelithiasis can lead to cholecystitis, inflammation of the gallbladder Hardening of the Gallbladder. A gallbladder that's working correctly stores bile, the fluid produced by the liver, until it is needed for fat digestion. When the person eats, hormones and nerve signals cause the gallbladder to contract and empty out 50 to 75 percent of its contents into the intestine. Much of this. Footnote: Gallbladder adenomyomatosis: typical ultrasound findings in annular type (a), fundal type (b and d), segmental type (c) and diffuse type (e).Gallbladder wall thickening (line) is always seen in gallbladder adenomyomatosis, but it is non-specific. On b-mode images, Rokitansky-Aschoff sinuses (arrows) typically appear anechoic (a), but they can also appear hyperechoic if cholesterine. Gallbladder wall thickening in an 81-year-old man with hepatitis C virus-related cirrhosis and hypoproteinemia but no intrinsic gallbladder disease. Axial single-shot fast SE T2-weighted MR image shows thickening and hyperintensity of the gallbladder wall (arrow) due to the patient's hypoproteinemic state

causes of gallbladder wall thickening Answers from

Other less common causes of cholecystitis include infection, injury and tumors. Inflammation of the gallbladder is a common disease in the United States. The disease is more common in women than in men, and it occurs most frequently after the age of 40. Recurrent episodes of gallstones lead to thickening of the gallbladder wall and make the. Gallbladder wall thickening, pericholecystic fluid collections Sensitive/specific test for cholelithiasis; identifies presence of fluid collection Other Tests: Biliary scintigraphy such as hydroxy iminodiacetic acid (HIDA) scan can show nonfilling of the gallbladder; biliary scintigraphy and ultrasound are the diagnostic tests most commonly used The gallbladder wall showed diffuse hypoechoic thickening in all patients, 7 of whom had intramural dilation of tubular, tortuous appearance. Ultrasound findings, however, were not very specific, and differential diagnosis with a large number of other entities is required to rule out other possible causes of focal and diffuse thickening of the. Background. Diffuse gallbladder wall thickening is typically regarded as greater than 3 mm by ultrasound. This can occur in a number of surgical and non-surgical conditions.1 We present a case of extremely, generalised thickening of gallbladder wall more than two2 cm on CT imaging, which was completely resolved by follow-up 8 weeks later

Possible Causes Of Gallbladder Wall Thickening SeekHealth

Gallbladder Removal (stones and wall thickening) can prostate infections in men cause UTI infection in women through intercourse? Bladder problems for 2 years, gone through many doctors and tests, yet the cause is still a mystery. The Mirena IUD and cramps, bladder spasms, bacterial vaginosis, etc Recurrent bladder infections after the sling. Cholecystitis means inflammation of the gallbladder. The gallbladder is a pear-shaped organ that sits beneath your liver and stores bile. If your gallbladder is inflamed, you may have pain in the upper right or mid-portion of the abdomen and you may be tender to the touch there. Bile is made in the liver The cross-sectional appearance of gallbladder carcinoma for US, CT, and MR is that of a mass replacing the gallbladder (40-65%), focal or diffuse wall thickening (20-30%), or an intraluminal polypoid mass (15-25%) (Figures 5-7). 39 Most gallbladder carcinomas present at an advanced stage and are not diagnostically challenging. There is.

Adenomyomatosis of the gallbladder | Radiology Case

Diffuse gallbladder wall thickening (differential

Acute cholecystitis is one of the most frequent causes of acute abdomen presented in worldwide emergency departments. General Surgeons are the most prepared doctors to diagnose such disease, because they are well familiarized with its signs and symptoms. Ultrasound (US) is the gold standard for diagnosis of acute cholecystitis, with a gallbladder wall thickening being one of the most important. striated gallbladder wall, referred to as the gallbladder halo sign or halo effect or double rim effect, with canine anaphylaxis (AX). Their study design was a result of recognizing that in a canine AX research model, gallbladder wall edema, sonographic striation, was commonly and reliably present Gallbladder sludge is a collection of cholesterol, calcium, bilirubin, and other compounds that build up in the gallbladder. It is sometimes called biliary sludge because it occurs when bile stays. The diagnosis of acute cholecystitis requires demonstration of gallbladder wall thickening or edema, a sonographic Murphy sign, or failure of the gallbladder to fill during cholescintigraphy Acalculous cholecystitis: Clinical manifestations, diagnosis, and management View in Chines

What does thickening of the gallbladder wall mean

  1. al tumors 1.9 Retroperitoneum and great vessels 1.10 Adrenal glands 1.11 Abdo
  2. istration of fluids is usually necessary. Medication for pain management should be avoided in patients who are.
  3. The gallbladder wall is no more than 2 mm thick in 97% of healthy subjects, if the short axis of the gallbladder is at least 2 cm in diameter. 5 Diffuse gallbladder wall thickening has a differential diagnosis that includes the more common inflammatory and noninflammatory causes of wall thickening. The various causes include hepatitis.
  4. Interstitial cystitis (IC) is a painful condition in which the bladder wall becomes irritated and inflamed. Chronic inflammation can cause scarring and thickening of the bladder wall, making the.

Thickened Gallbladder walls only, no stones

Other causes of wall thickening. Gallbladder wall thickening can occur independently of gallbladder diseases, as in heart failure, renal failure, hepatic failure or hepatitis (Fig. 10), ascites, hypoalbuminemia, pancreatitis, blockage of the lymphatic or venous drainage of the gallbladder, or multiple myeloma [68,69,70] A liver biopsy didn't give them definitive answers, ultrasound showed a thickened, inflamed gall bladder and inflamed liver, with a lot of sludge backup in the gallbladder. I was in the hospital on IV nutrition only for about 2 weeks before I was able to tolerate any food at all and they could wean me off the IV and send me home 5 nonbiliary causes for thickened gallbladder wall. nonspecific. is a thickened gallbladder wall a specific or nonspecific finding? cholecystitis. inflammation of the gallbladder. persistant obstructing stone. most common cause of acute cholecystitis. acute ruq pain, fever, leukocytosis, increased serum bilirubin and alk phos

Muscles in the gall bladder may be malfunctioning, which can lead to impaired bile flow in the cystic duct or gall bladder, irritating the walls of the gallbladder. Or the blood supply to the gallbladder wall is being restricted, in which case the cause for the restriction must be isolated and treated to improve the blood flow The longitudinal ultrasound image shown demonstrates gallbladder wall thickening and pericholecystic fluid (arrow) in a patient being evaluated for acalculous cholecystitis. Other causes of pericholecystic fluid include ascites, pancreatitis, peptic ulcer, liver abscess, peritonitis, ruptured ectopic gestation, and pericholecystic abscess Thickened gallbladder wall • Thickening of the gallbladder wall is a relatively frequent finding at diagnostic imaging studies. • A thickened gallbladder wall measures more than 3 mm, typically has a layered appearance at sonography , and at CT frequently contains a hypodense layer of subserosal oedema that mimics pericholecystic fluid

Cholecystitis Guide: Causes, Symptoms and Treatment Option

A thickened gallbladder wall (> 3 mm) Pericholecystic fluid. An impacted stone in the gallbladder neck. Tenderness when the gallbladder is palpated with the ultrasound probe (ultrasonographic Murphy sign) ERCP with manometry to measure sphincter of Oddi pressure causes pancreatitis in up to 25% of patients

The Radiology Assistant : Gallbladder wall thickenin

Thickening of the gallbladder wall by more than 3 mm has been described in association with several disorders: acute and chronic cholecystitis, adenomyosis, primary carcinoma of the gallbladder, hepatitis, alcoholic liver disease, portal hypertension, hypoalbuminemia, AIDS, renal disease, and systemic venous hypertension. 2 Twenty had a gallbladder wall more than 3 mm thick. The following diseases were associated with gallbladder wall thickening; hypoalbuminemia (13 cases), ascites (five, three with concomitant hypoalbuminemia), physiologic thickening because of partial wall contraction (one), and systemic venous hypertension (one) thickened gallbladder wall a nonspecific finding. AJR 1981; 136:337-39 3 Patriquin HB, DiPietro M, Barber FE, Littlewood-Teele R. 320 Sonography of thickened gallbladder wall: causes in children. AJR 1983; 141 :57-00 4 Burrell MI, 7.eman RK, Simeone JF, Dachman AH, McGahan JP, van Sonnenberg E, et al Gallbladder wall thickening, associated with features like perforation, fistula formation and invasion of adjacent organs, is often assumed to be malignant. Xanthogranulomatous cholecystitis (XGC) causes gallbladder wall thickening with similar aggressive features and closely mimics gallbladder carcinoma clinically, radiologically and surgically Wall thickening associated with acute cholecystitis is generally diffuse, occupying the fundus, body and neck of the gallbladder. In patients presenting to the ED with suspected acute cholecystitis or cholelithiasis, ultrasound may reveal a focal wall thickening. While this may be seen with acute cholecystitis, it is more commonly found with.

Thickness of the gallbladder wall in patients with

The normal gallbladder wall should measure 3 mm or less on ultrasound imaging. The differential diagnosis for diffuse gallbladder wall thickening includes cholecystitis, hepatitis, volume overload states such as heart failure, liver failure, and renal failure, hypoproteinemia, portal hypertension, and more rare causes such as gallbladder carcinoma, AIDS cholangiopathy, cholangitis. Gallbladder wall thickening associated with the Murphy's sign has a predictive value of up to 94% (11,12). Another rare condition that determines gallbladder wall thickening associated with inflammatory process is the Mirizzi syndrome The Gallbladder Wall: One sign of cholecystitis is a thickened gall-bladder wall. The normal gallbladder wall can be up to 3mm thick. The most common conditions other than cholecystitis that may cause thickening of the gallbladder wall include hepatitis, hypoalbuminemia, tumor, hyperplastic cholecystosis, adenomyomatosis, and CHF A contracted gallbladder with thick-appearing wall may be a normal finding after eating. [4] Adjunctive signs: Thickened gallbladder wall (50-75% sensitive) and pericholecystic fluid: These are relatively nonspecific. These have a variety of possible causes (e.g. volume overload, ascites, hepatitis). gangrenous cholecystiti

Thickened gallbladder wall treatment Answers from

This condition sprouts in a sudden manner that can result to severe pain in the upper right abdomen. Acute cholecystitis is primarily caused but formation of gallstones. The inflammation is a result from the infectious process. This can lead to filling of fluid in the gallbladder and the thickening of the gallbladder wall. Chronic cholecystiti Thickening the walls of the gallbladder total thickening. The normal thickness of the gallbladder wall is less than 3 mm and rarely exceeds 5 mm. When the thickness of the wall is 3-5 mm, it is necessary to correlate this echographic picture with the clinic. The general thickening of the gallbladder walls can occur in the following cases The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action Porcelain gallbladder - calcification of gallbladder wall; Chronic cholecystitis - repeasted episodes of infection causes thickening and fibrosis of gall bladder; Carinoma of gallbladder; Empyema and mucocele - obstructed gallbladder fills with mucus secreted by the gallbladder wall/pus from inflammation A barrier or annular thickening causes peripheral narrowing of the lumen often associated with adenomyomatosis and must be distinguished from congenital folds of the wall of the gallbladder which is usually thinner and smoother and is located at the bottom while adenomyomatosis may include a part of the gallbladder

Cholecystitis - Symptoms and causes - Mayo Clini

  1. The ultrasouns also said normal walls of the gallbladder. The gallbladder is physiologically distended without evidence of stone. There is no pericholecystic effusion, mural thickening or tenderness with contact scanning. The common bile duct measures 0.4 cm.
  2. es gallbladder wall thickening associated with inflammatory process is the Mirizzi syn-drome. In such a situation, an impacted gallstone located in the gallbladder neck or in the cystic duct causes.
  3. emia) •Right sided.
  4. A GB that is covered by visceral peritoneum may exhibit increased motility which can lead to volvulus. A contracted GB can give the appearance of a thickened wall, but this is a normal finding and should not be confused for true GB wall thickening. Sludge Gallbladder sludge with fatty liver. biliary sand/microlithiasis; precursor to stone
  5. The most obvious sign would be the presence of sonographic Murphy's sign: pain when the gallbladder is compressed underneath the ultrasound transducer. This is the most sensitive sign of acute cholecystitis. Other signs of an unhappy gallbladder include gallbladder wall thickening and pericholecystic fluid, both of which we can see in Fig. 3
  6. al CT scan only showed a distended gallbladder and gallbladder stones without thickening of the gallbladder wall. And, there was no abnormalities in the left peritoneum at that time. Figure 2
  7. The CTscan shows a distended gallbladder, no calcified stones, thickening and hyperemia of the wall, with stranding in the fat surrounding the gallbladder. Although this could still be calculous cholecystitis caused by an impacted stone the clinical setting is more likely to be of an acalcalous nature

What causes thickening of the gallbladder wall

  1. d when we see increased wall thickness. Along with a compatible clinical picture, ultrasonographic features.
  2. ation of the gallbladder in two patients with preeclampsia and right upper quadrant pain demonstrated notable thickening of the gallbladder wall. The sonographic abnormality and clinical symptoms completely resolved after delivery and/or medical management of the preeclampsia. This..
  3. For example, a thickened gallbladder wall can be secondary to a variety of noninfectious causes including hypoproteinemia, right-sided congestive heart failure, and the presence of contiguous peritonitis, making this finding nonspecific for diagnosis of bacterial cholangitis. 15, 20 Previous studies have identified an association between.
  4. Indirect indicators include the presence of an abscess outside the gallbladder and the presence of gallstones together with thickening of the gallbladder wall. In the current case the best diagnostic clue of the first CT scan was the misinterpreted hyperdense fluid surrounding the gallbladder, the liver and the spleen
  5. al pain. However, we herein describe a case of a patient with gallbladder adenomyomatosis who did not present with abdo
  6. aemia, heart failure, portal hypertension), adjacent inflammatory.
  7. viral causes), pancreatitis, pyelonephritis and systemic viral infections (EBV, HIV). Hepatitis is the most. common cause of incr eased gallbladder wall thickening due to extra-cholecystic.

Gallbladder distension and wall thickening are nonspecific. In addition, the gallbladder wall thickening is often very marked and there may be a striated appearance to the wall or irregular protrusions within the lumen . US is currently considered the preferred initial imaging technique for patient who is clinically suspected of having acute. Gallbladder wall thickening has several causes other than acute cholecystitis (fig). These images are of a very ill young lady with diffuse abdominal pain and a CRP of 430. US shows massive edematous wall thickening of the gallbladder, which has a small lumen and contains no stones Hydrops of the gallbladder - A non-inflammatory disease caused by a partial or complete obstruction of the cystic duct, resulting in gall bladder accumulated mucus and exudate. Dropsy of the gall bladder is formed long, long time the symptoms may be absent. Accumulation of a large number of contents causes an increase in bubble size, stretching and thinning its walls, pain, morbidity (bleeding. Patients undergoing cholecystectomy for reasons other than gallstones (e.g., polyps or cancer) and those without preoperative ultrasounds were excluded. Patients were divided into four groups based on the degree of gallbladder wall thickness: normal (1-2 mm), mildly thickened (3-4 mm), moderately thickened (5-6 mm), and severely thickened (7 mm.

담낭수축 유무에 따른 만성 담낭염의 임상적 의의

Gallbladder wall thickening in infectious mononucleosis

Diffuse gallbladder wall thickening without cholecystitis can be detected in a number of pathological conditions, including liver cirrhosis, acute viral hepatitis, drug-induced hepatitis, renal. The polyps are due to excessive cholesterol and triglyceride production in the epithelial lining. Adenomyomatosis - the second most common type of gallbladder polyps which is located at the fundus of the gallbladder. The polyp size ranging from 10-20mm and appear as focal thickening of the gallbladder wall when viewed on ultrasound CBD wall thickening or ampullary This was achieved by using the technique of laparoscopy to safely excise the gall bladder. Common causes of biliary tree obstruction include. The gallbladder (solid arrow) is located more inferiorly due to ventral wall hernia. HIDA, hepatobiliary iminodiacetic acid Interventional radiology was consulted for draining the fluid surrounding the gallbladder, and there was a concern for possible common bile duct (CBD) obstruction due to the patient's abdominal pain, despite no evidence. The mass generally occupies and obscures the gallbladder bed. The wall thickening pattern represents approximately 20-30% of cases. During sonography, this pattern can be found as a focal or diffuse asymmetric wall thickening, usually > 10 mm in size and heterogeneous and irregular . The echo colour Doppler exam generally provides little.

Studies have been done using multidetector row CT (MDCT) with a dual-phase technique to show differential gallbladder wall enhancement for distinguishing between benign and malignant causes of gallbladder wall thickening, with reported sensitivity and specificity of 82.5% and 75.9%, respectively Cholecystitis is inflammation of the gallbladder. Symptoms include right upper abdominal pain, nausea, vomiting, and occasionally fever. Often gallbladder attacks (biliary colic) precede acute cholecystitis. The pain lasts longer in cholecystitis than in a typical gallbladder attack. Without appropriate treatment, recurrent episodes of cholecystitis are common Causes of gallbladder polyps include: High cholesterol levels in the bile; High salt levels in the bile; Thickening of the gallbladder wall (adenomyomatosis) Risk factors for developing gallbladder polyps include: Gallstones; Genetic predisposition; Obesity; Gardner syndrome, a type of familial polyposis; Peutz-Jeghers syndrome, a genetic conditio Abdominal ultrasonography and computed tomography (CT) are frequently utilized in the assessment of patients with abdominal pain. During examination of the gallbladder, wall thickness is easily demonstrated and felt to be an important characteristic of intrinsic gallbladder disease.1—4 Other documented causes of diffuse gallbladder wall thickening include ascites, hypoalbuminemia, peptic. RUQ ultrasound showed gallbladder wall thickening without pericholecystic fluid. Acute Hepatitis panel was negative. A transthoracic echocardiogram revealed EF of close to 8.5%. He was treated with inotropes, bumetamide and digoxin. Repeat Ultrasound did not reveal any evidence of gall bladder wall thickening or edema Porcelain gallbladder means the wall of the gallbladder has been calcified to a hard and bluish-white texture resembling porcelain ceramic. This medical condition primarily results from gallstones that chronically inflame the gallbladder; when many gallstones collect in the gallbladder, it becomes irritated or inflamed and causes calcification.