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    Go to the top of the page   ID: 20030413111550 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Gallbladder hydrops with evolving cholecystitis
    Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030413111550


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, V. Hofmann (Halle/S)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    14 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Other and unknown  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    14 year-old girl with trisomy 21. Known cholecystolithiasis for two years, but shows no symptoms. Acute stomach aches with vomiting for three days. The patient currently shows right-sided upper quadrant pain. No fever, slightly elevated ESR, ASAT and gGT.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


     Ultrasound <- view Ultrasound

    Ultrasound 1: Widened gall bladder without emptying, thickening of the gall bladder wall with increased echogenicity. Depiction of a concrement giving an acoustic shadow at the transition to the cystic duct.



     OP-Situs <- view OP-Situs

    OP-Situs 1: Laparoscopic resected gall bladder with thickened walls and concrement.
     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Cholecystolithiasis  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After pain management, laparoscopic choecystectomy. Intraoperative confirmation of the hydroptic, filled gall bladder. The concrement was in front of the ductus cysticus.
    After aspiration of the gall bladder and reduction of pressure, no problems with the laparoscopic removal of the gall bladder.  

     
     Pediatric Radiology CasesComments of the author about the case:

    The preoperative sonogram allows the exact assessment of the position of the stone. The gall bladder wall thickness and the extent of filling of the gall bladder is also assessible. The intraoperative aspiration and drainage of the gall bladder should be considered, particularly with missing drainage after adequate stimulation.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Daradkeh, S.S.,Suwan,Z., Abu-Khalaf, M.
    Preoperative ultrasonography and prediction of technical difficulties during laparoscopic cholecystectomy.
    World J Surg 1998 Jan;22(1):75-7

    2. Medline: Medline
    DE Caluwe, D., Akl, U., Corbally M.
    Cholecystectomy versus cholecystolithotomy for cholelithiasis in childhood: long-term outcome
    J Pediatr Surg 2001 Oct;36(19):1518-21  

     
     Pediatric Radiology CasesKeywords:

    Cholecystitis, Cholecystolithiasis, Hydrops, gallbladder hydrops, cholecystitis, cholecystolithiasis, abdominal pain, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030413111550  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Other and unknown
    or in the region: Abdomen
    or in the tissue/organ: Other and unknown
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Gallbladder hydrops with evolving cholecystitis
    Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030413111550


     

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    Gallbladder hydrops with evolving cholecystitis
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search V. Hofmann in Medline V. Hofmann (17)   

    Gallbladder hydrops with evolving cholecystitis  
     
    Gallbladder hydrops with evolving cholecystitis
    Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030413111550


     

    Which diagnosis have other collegues guessed?


    • Cholecystitis in Cholecystolithiasis
      Votes: 12 (80 %)


    • Infected choleodochus cyst
      Votes: 1 (6 %)


    • Infected intestinal duplicature
      Votes: 1 (6 %)


    • Ovarian cyst
      Votes: 1 (6 %)



        Total answers: 15

     
    Gallbladder hydrops with evolving cholecystitis
    Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030413111550


     

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    Gallbladder hydrops with evolving cholecystitis
    Dirk Schaper, V Hofmann. Gallbladder hydrops with evolving cholecystitis. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030413111550


     




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