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Chole Lithia Sis
Chole Lithia Sis
Chole Lithia Sis
ASFENDYAROVA
Almaty - 2023
Plan
•Definition
•Pathogenesis
•Classification
•Anatomy of the gallbladder
•Diagnostic methods
•Radiological semiotics
•Differential diagnosis
•Recommendations
This is a disease associated with a disorder in the metabolism of cholesterol and bilirubin , resulting in the formation
of stones in the gall bladder ( cholecystolithiasis ) and/or in the bile ducts ( choledocholithiasis ).
pigmented cholesterol
common
hepatic duct
sphincter muscles
bottom of the
gallbladder
stones in
gallbladder this stone simultaneously blocks
both the common bile duct and
the pancreatic duct
Radiography
CT
MRI
Endoscopic retrograde
cholangiopancreatography
ERCP
Mobile filling defects
inside
Contrast-filled gallbladder sensitivity 68
blisters and stones in the - 93%
extrahepatic bile ducts
General characteristics:
• Best diagnostic criterion:
o Calcification in the form of a curved “rim”
in the right hypochondrium, resembling the
shape of a gallbladder
• Morphology:
Two options:
- Limited mucosal calcification: high risk of
malignancy
- Diffuse wall calcification: low risk of
malignancy
Gallbladder polyp
Bladder bile sludge
Gallbladder carcinoma
Focal adenomyomatosis
Parasitic infestation of the gallbladder
Intestinal gases
Emphysematous cholecystitis
Ultrasound is the best imaging modality for evaluating patients with upper abdominal pain/discomfort.
➢When evaluating patients with pain/discomfort in the upper right quadrant of the abdomen after a
fatty meal, especially middle-aged obese women , remember the likely presence of cholelithiasis