Focal acute cholecystitis misdiagnosed as gallbladder carcinoma
Thickening of the gallbladder wall is often associated with acute or chronic cholecystitis, adenomyomatosis and gallbladder carcinoma or seen in the context of liver and systemic diseases (acute hepatitis, cirrhosis, sepsis). Here we present a case of a 61 y.o. man with focal thickening of the gallbladder wall, in whom all imaging techniques were inconclusive. Pathological examination of the resected gallbladder revealed acute-on-chronic cholecystitis. We describe focal acute cholecystitis in absence of the classic clinical and imaging findings (Murphy's sign, fever, gallstones, hydrops, pericholecystic fluid) and mimicking a gallbladder carcinoma.
Authors
- Dave Gangemi
- Elisabetta Above (ORCID: https://orcid.org/0000-0003-1140-8602)
- Ambra Raimondi (ORCID: https://orcid.org/0000-0003-0549-310X)
- Giuseppe Ancona (ORCID: https://orcid.org/0000-0002-8506-5115)
- Giovanni Arpa (ORCID: https://orcid.org/0000-0001-7226-381X)
- Carolina Dellafiore
- Gian Luca D’Alessandro (ORCID: https://orcid.org/0000-0001-7815-7559)
- Gianluigi Poma
Institutions
- Vita-Salute San Raffaele University (IT)
- University of Pavia (IT)
- Ospedale di Circolo e Fondazione Macchi (IT)
- Istituti Clinici Scientifici Maugeri (IT)
- Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele (IT)
Publication Details
- Journal
- Journal of Ultrasound
- Published
- 2025-02-13
- DOI
- https://doi.org/10.1007/s40477-025-00995-z
- Citations
- 1
- Primary Topic
- Gallbladder and Bile Duct Disorders
- Type
- article
- Field-Weighted Citation Impact
- 1.52
Funders
- Università degli Studi di Pavia