What does fundus of gallbladder mean?
The part of the gallbladder projecting beyond the undersurface of the liver is called the fundus; fundus continues into the main body of the gallbladder, which lies in a fossa on the undersurface of the liver. The body of the gallbladder narrows into an infundibulum, which leads through the neck to the cystic duct.
What is cholecystitis caused by?
In most cases, gallstones blocking the tube leading out of your gallbladder cause cholecystitis. This results in a bile buildup that can cause inflammation. Other causes of cholecystitis include bile duct problems, tumors, serious illness and certain infections.
What conditions cause gallbladder wall thickening?
The thickness of the gallbladder wall depends on the degree of gallbladder distention; pseudothickening can occur in the postprandial state due to physiologic contraction.
- Cholecystitis.
- Liver Disease.
- Systemic Diseases.
- Extracholecystic Inflammation.
- Malignancy.
- Adenomyomatosis.
- Pseudothickening.
- Atypical Infection.
What is Adenomyomatosis of gallbladder?
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).
What is the fundus?
(FUN-dus) The part of a hollow organ that is across from, or farthest away from, the organ’s opening. Depending on the organ, the fundus may be at the top or bottom of the organ. For example, the fundus of the uterus is the top part of the uterus that is across from the cervix (the opening of the uterus).
Is gallbladder thickening serious?
Thickening of the gallbladder wall is a relatively frequent finding at diagnostic imaging studies. Historically, a thick-walled gallbladder has been regarded as proof of primary gallbladder disease, and it is a well-known hallmark feature of acute cholecystitis.
How do you treat a thickened gallbladder wall?
How can cholecystitis be treated?
- Fasting, to rest the gallbladder.
- IV fluids to prevent dehydration.
- Pain medication.
- Antibiotics to treat infection.
- Removing the gallbladder.
- Draining the gallbladder to treat and prevent the spread of infection.
- Removing gallstones in the area blocking the common bile duct.
Is gallbladder adenomyomatosis serious?
Apart from the right upper quadrant abdominal pain that some patients experience, gallbladder adenomyomatosis is a benign condition and carries a good prognosis.
Does gallbladder adenomyosis require surgery?
Symptomatic adenomyomatosis is considered an indication for cholecystectomy, while asymptomatic disease is not an indication for surgery. If there is any clinical or radiological doubt about the possibility of adenocarcinoma of the gallbladder, a cholecystectomy is usually warranted [7].
What is cholecystitis and what causes it?
Cholecystitis occurs when the gallbladder becomes inflamed. Gallstones are the most common cause of gallbladder inflammation but it can also occur due to blockage from a tumor or scarring of the bile duct.
Which ultrasound findings are characteristic of acute cholecystitis?
Ultrasound findings suggestive of acute cholecystitis include gallstones, pericholecystic fluid (fluid surrounding the gallbladder), gallbladder wall thickening (wall thickness over 3 mm), dilation of the bile duct, and sonographic Murphy’s sign.
What is the pathophysiology of acute calculous cholecystitis?
Gallstones blocking the flow of bile account for 90% of cases of cholecystitis (acute calculous cholecystitis). Blockage of bile flow leads to thickening and buildup of bile causing an enlarged, red, and tense gallbladder.
Can cholecystitis cause duodenum adhesions?
The inflammation of cholecystitis can lead to adhesions between the gallbladder and other parts of the gastrointestinal tract, most commonly the duodenum. These adhesions can lead to the formation of direct connections between the gallbladder and gastrointestinal tract, called fistulas.