Case report:

A 16-year-old female patient has reported recurrent diarrhea and abdominal pain in the area of the right colonic flexure for several months, most recently about every 14 days. Two months ago, she was referred to the clinic after a particularly severe episode; laboratory findings were normal. At the time of the last examination, she was symptom-free. Sonography shows thickening of the gallbladder wall with inhomogeneous layering and preserved, smooth inner and outer contours. The fundus and corpus are primarily affected, while the infundibulum appears normal. Hyperechoic single echoes with reverberation artifacts (comet tail artifacts) are found in the thickened wall sections. In addition, high-frequency sonography (video) shows echo-free, small cystic areas in the wall, which correspond to the enlarged Rokitansky-Aschoff sinus. This is a characteristic finding of segmental gallbladder adenomyomatosis.

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Adenomyomatose vom Fundustyp (hochfrequenter Linearschallkopf)

Adenomyomatose der Gallenblase (Sanduhrtyp), nebenbefundlich Cholezystolithiasis (siehe auch Folgevideo)

Adenomyomatose der Gallenblase (Sanduhrtyp), nebenbefundlich Cholezystolithiasis

Cholesteatose

Ultraschall, Ultraschallatlas, Ultraschallbilder, Ultraschallvideos, Sonographie, Sonographieatlas, Sonographiebilder, Sonographievideos, Kontrastmittelultraschall, Kontrastmittelsonographie, Medizinische Klinik 1, Uniklinik, Universitätsklinikum, Erlangen