eMedicine Specialties > General Surgery > Abdomen

Gallbladder Mucocele: Multimedia

Author: Vijayaraghavan Rajagopalan, MBBS, MS, FRCS(Edin), Consultant General and Laparoscopic Surgeon, Department of Surgery, RMV Hospital, India
Contributor Information and Disclosures

Updated: Apr 9, 2009

Multimedia

A 35-year-old woman presented with recurrent epis...
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Media file 1: A 35-year-old woman presented with recurrent episodes of right upper quadrant colic. Her most recent attack was 3 days ago. Note the gross wall thickening; this is usually measured on the anterior wall of the gallbladder on ultrasonographic examination. Also note the clear content, the stone in the neck of the gallbladder, and the absence of pericholecystic fluid. All favor a diagnosis of acute cholecystitis.
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A 35-year-old woman presented with recurrent epis...

A 35-year-old woman presented with recurrent episodes of right upper quadrant colic. Her most recent attack was 3 days ago. Note the gross wall thickening; this is usually measured on the anterior wall of the gallbladder on ultrasonographic examination. Also note the clear content, the stone in the neck of the gallbladder, and the absence of pericholecystic fluid. All favor a diagnosis of acute cholecystitis.

A stone in the neck of the gallbladder, with post...
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Media file 2: A stone in the neck of the gallbladder, with postacoustic shadowing, is clearly shown. Also, the minimal wall thickening and a dilated gallbladder suggest a mucocele.
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A stone in the neck of the gallbladder, with post...

A stone in the neck of the gallbladder, with postacoustic shadowing, is clearly shown. Also, the minimal wall thickening and a dilated gallbladder suggest a mucocele.

This ultrasonographic transverse scan of the gall...
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Media file 3: This ultrasonographic transverse scan of the gallbladder shows a stone in the neck of the gallbladder, with postacoustic shadowing. Also, minimal wall thickening and a dilated gallbladder are visible.
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This ultrasonographic transverse scan of the gall...

This ultrasonographic transverse scan of the gallbladder shows a stone in the neck of the gallbladder, with postacoustic shadowing. Also, minimal wall thickening and a dilated gallbladder are visible.

These ultrasonographic transverse scans of the ga...
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Media file 4: These ultrasonographic transverse scans of the gallbladder show layering of the gallbladder wall; this suggests edema and indicates an acute cholecystitis.
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These ultrasonographic transverse scans of the ga...

These ultrasonographic transverse scans of the gallbladder show layering of the gallbladder wall; this suggests edema and indicates an acute cholecystitis.

This ultrasonographic longitudinal scan shows lay...
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Media file 5: This ultrasonographic longitudinal scan shows layering, with fluid in the wall of the gallbladder and an impacted stone in the neck of the gallbladder. The intraluminal shadowing indicates sediments in the fluid; this image indicates acute cholecystitis with a possible pyocele of the gallbladder.
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This ultrasonographic longitudinal scan shows lay...

This ultrasonographic longitudinal scan shows layering, with fluid in the wall of the gallbladder and an impacted stone in the neck of the gallbladder. The intraluminal shadowing indicates sediments in the fluid; this image indicates acute cholecystitis with a possible pyocele of the gallbladder.

This ultrasonographic scan shows a cluster of imp...
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Media file 6: This ultrasonographic scan shows a cluster of impacted calculi in the neck of the gallbladder, minimal wall thickening, and clear content. This is indicative of a mucocele of the gallbladder.
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This ultrasonographic scan shows a cluster of imp...

This ultrasonographic scan shows a cluster of impacted calculi in the neck of the gallbladder, minimal wall thickening, and clear content. This is indicative of a mucocele of the gallbladder.

This ultrasonographic scan clearly shows a cluste...
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Media file 7: This ultrasonographic scan clearly shows a cluster of calculi with postacoustic shadowing in the neck of the gallbladder, normal wall, and clear content; this indicates a mucocele of the gallbladder.
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This ultrasonographic scan clearly shows a cluste...

This ultrasonographic scan clearly shows a cluster of calculi with postacoustic shadowing in the neck of the gallbladder, normal wall, and clear content; this indicates a mucocele of the gallbladder.

This perioperative photograph shows a distended g...
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Media file 8: This perioperative photograph shows a distended gallbladder with evidence of adhesions on its wall. The irregular surface indicates recurrent attacks of cholecystitis.
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This perioperative photograph shows a distended g...

This perioperative photograph shows a distended gallbladder with evidence of adhesions on its wall. The irregular surface indicates recurrent attacks of cholecystitis.

This intraoperative photograph shows a yellowish ...
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Media file 9: This intraoperative photograph shows a yellowish aspirate from the gallbladder of a 28-year-old woman who presented with features of right upper quadrant peritonitis. The slightly yellowish fluid was sterile and was rich in cholesterol.
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This intraoperative photograph shows a yellowish ...

This intraoperative photograph shows a yellowish aspirate from the gallbladder of a 28-year-old woman who presented with features of right upper quadrant peritonitis. The slightly yellowish fluid was sterile and was rich in cholesterol.

This intraoperative photograph shows a subserosal...
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Media file 10: This intraoperative photograph shows a subserosal perforation of an acute, emphysematous, acalculous cholecystitis in a 58-year-old diabetic man. He presented with features suggestive of ileus. He had a high intrathoracic liver (and gallbladder), and clinical signs were atypical. The green color is unusual.
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This intraoperative photograph shows a subserosal...

This intraoperative photograph shows a subserosal perforation of an acute, emphysematous, acalculous cholecystitis in a 58-year-old diabetic man. He presented with features suggestive of ileus. He had a high intrathoracic liver (and gallbladder), and clinical signs were atypical. The green color is unusual.

Laparoscopic view of a distended gallbladder in a...
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Media file 11: Laparoscopic view of a distended gallbladder in a woman aged 70 years with sudden onset of severe right upper abdominal pain
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Laparoscopic view of a distended gallbladder in a...

Laparoscopic view of a distended gallbladder in a woman aged 70 years with sudden onset of severe right upper abdominal pain

Note the stone being extracted out of the cystic ...
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Media file 12: Note the stone being extracted out of the cystic duct through a small ductotomy. This was the cause of the mucocele in the gallbladder shown in the previous photograph
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Note the stone being extracted out of the cystic ...

Note the stone being extracted out of the cystic duct through a small ductotomy. This was the cause of the mucocele in the gallbladder shown in the previous photograph

More on Gallbladder Mucocele

Overview: Gallbladder Mucocele
Workup: Gallbladder Mucocele
Treatment: Gallbladder Mucocele
Follow-up: Gallbladder Mucocele
Multimedia: Gallbladder Mucocele
References
Further Reading
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References

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  3. Rosen P, Barkin R. Emergency Medicine: Concepts and Clinical Practice. 4th ed. St. Louis, Mo: Mosby-Year Book Inc; 1998.

  4. Damjanov I, Linder J. Diseases of the digestive system: gallbladder and extrahepatic ducts. In: Anderson's Pathology. vol 2. 10th ed. St. Louis, Mo: Mosby-Year Book; 1996.

  5. Wight DGD, Symmers WS, eds. Systemic pathology. In: The Liver, Biliary Tract and Exocrine Pancreas. vol 11. 3rd ed. Philadelphia, Pa: Churchill Livingstone; 1994.

  6. Rosai J. Rosai and Ackerman's Surgical Pathology. vol 1. 9th ed. New York, NY: Mosby; 2004:1039.

  7. Mofti AB, Al-Momen A, Suleiman SI, et al. The single gallbladder stone - is it innocent?. Ann Saudi Med. Nov 1994;14(6):471-3. [Medline].

  8. Maurer K, Unsinn KM, Waltner-Romen M, et al. Segmental bowel-wall thickening on abdominal ultrasonography: an additional diagnostic sign in Kawasaki disease. Pediatr Radiol. Sep 2008;38(9):1013-6. [Medline].

  9. Vijayaraghavan R, Belagavi CS. Double gallbladder with different disease entities: a case report. J Min Access Surg. 2006;2:23-6. [Full Text].

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  11. Georgiades CP, Mavromatis TN, Kourlaba GC, et al. Is inflammation a significant predictor of bile duct injury during laparoscopic cholecystectomy?. Surg Endosc. Sep 2008;22(9):1959-64. [Medline].

  12. Popkharitov AI. Laparoscopic cholecystectomy for acute cholecystitis. Langenbecks Arch Surg. Nov 2008;393(6):935-41. [Medline].

  13. [Best Evidence] Gurusamy KS, Samraj K, Fusai G, et al. Robot assistant for laparoscopic cholecystectomy. Cochrane Database Syst Rev. Jan 21 2009;CD006578. [Medline].

  14. [Best Evidence] Mahid SS, Jafri NS, Brangers BC, et al. Meta-analysis of cholecystectomy in symptomatic patients with positive hepatobiliary iminodiacetic acid scan results without gallstones. Arch Surg. Feb 2009;144(2):180-7. [Medline].

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Keywords

gallbladder mucocele, gallbladder, gallstones, gallstone, cholecystectomy, cholecystitis, gall stones, gallbladder disease, gallbladder surgery, gallbladder removal, cholelithiasis, gall bladder surgery, gall stone, HIDA scan, cystic duct, gallbladder hydrops, hydrops of the gallbladder, gallstone disease, overdistended gallbladder filled with mucoid or clear and watery content, outlet obstruction of the gallbladder

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Contributor Information and Disclosures

Author

Vijayaraghavan Rajagopalan, MBBS, MS, FRCS(Edin), Consultant General and Laparoscopic Surgeon, Department of Surgery, RMV Hospital, India
Vijayaraghavan Rajagopalan, MBBS, MS, FRCS(Edin) is a member of the following medical societies: International College of Surgeons and Royal College of Surgeons of Edinburgh
Disclosure: Nothing to disclose.

Medical Editor

Oscar Joe Hines, MD, Assistant Professor, Department of Surgery, University of California at Los Angeles School of Medicine
Oscar Joe Hines, MD is a member of the following medical societies: Alpha Omega Alpha, American Association of Endocrine Surgeons, American College of Surgeons, Association for Academic Surgery, Society for Surgery of the Alimentary Tract, and Society of American Gastrointestinal and Endoscopic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Michael A Grosso, MD, Consulting Staff, Department of Cardiothoracic Surgery, St Francis Hospital
Michael A Grosso, MD is a member of the following medical societies: American College of Surgeons, Society of Thoracic Surgeons, and Society of University Surgeons
Disclosure: Nothing to disclose.

CME Editor

Paolo Zamboni, MD, Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy
Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences
Disclosure: Nothing to disclose.

Chief Editor

John Geibel, MD, DSc, MA, Vice Chairman, Professor, Department of Surgery, Section of Gastrointestinal Medicine and Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director of Surgical Research, Department of Surgery, Yale-New Haven Hospital
John Geibel, MD, DSc, MA is a member of the following medical societies: American Gastroenterological Association, American Physiological Society, American Society of Nephrology, Association for Academic Surgery, International Society of Nephrology, New York Academy of Sciences, and Society for Surgery of the Alimentary Tract
Disclosure: AMGEN Royalty Other

 
 
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