Imaging-based algorithmic approach to gallbladder wall thickening  

作　　者：Pankaj Gupta Yashi Marodia Akash Bansal Naveen Kalra Praveen Kumar-M Vishal Sharma Usha Dutta Manavjit Singh Sandhu 

机构地区：[1]Department of Radiodiagnosis and Imaging,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India [2]Department of Pharmacology,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India [3]Department of Gastroenterology,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India

出　　处：《World Journal of Gastroenterology》2020年第40期6163-6181,共19页世界胃肠病学杂志（英文版）

摘　　要：Gallbladder(GB) wall thickening is a frequent finding caused by a spectrum of conditions. It is observed in many extracholecystic as well as intrinsic GB conditions. GB wall thickening can either be diffuse or focal. Diffuse wall thickening is a secondary occurrence in both extrinsic and intrinsic pathologies of GB, whereas, focal wall thickening is mostly associated with intrinsic GB pathologies. In the absence of specific clinical features, accurate etiological diagnosis can be challenging. The survival rate in GB carcinoma(GBC) can be improved if it is diagnosed at an early stage, especially when the tumor is confined to the wall. The pattern of wall thickening in GBC is often confused with benign diseases, especially chronic cholecystitis, xanthogranulomatous cholecystitis, and adenomyomatosis. Early recognition and differentiation of these conditions can improve the prognosis. In this minireview, the authors describe the patterns of abnormalities on various imaging modalities(conventional as well as advanced) for the diagnosis of GB wall thickening. This paper also illustrates an algorithmic approach for the etiological diagnosis of GB wall thickening and suggests a formatted reporting for GB wall abnormalities.

关 键 词：Gallbladder diseases CHOLECYSTITIS Rokitansky-Aschoff sinuses of the gallbladder Xanthogranulomatous cholecystitis NEOPLASMS Acute cholecystitis 

分 类 号：R575.6[医药卫生—消化系统]