Which of the following condition is associated with focal and diffuse thickening of gall bladder wall with high amplitude reflections and ‘comet tail’ aifacts on USG?
Correct Answer: Adenomyomatosis
Description: Focal diffuse thickening of gall bladder wall with high amplitude reflections and 'comet tail' aifacts on USG suggest the diagnosis of adenomyomatosis. Adenomyomatosis is a benign condition characterized by slow growth, enlarged gall bladder wall and hyperplasia of the gall bladder mucosa forming invaginations through the muscular layers, well known as 'Rokintansky-Aschoff sinuses' which causes the 'comet tail' tail aifact in the USG. It may produce focal, segmental or diffuse mural thickening. Ref: Diseases Of The Gallbladder And Bile Ducts:Diagnosis and Treatment By Pierre Alain Clavien, John Baillie, Page 110; Differential Diagnosis in Ultrasound : A Teaching Atlas By Guenter Schmidt, Page 125
Category:
Radiology
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