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Paper 2
Published in Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw, The Final FRCR, 2020
Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw
The gallbladder does have features of cholecystitis; however, the most accurate diagnosis is Mirizzi syndrome because this also explains the underlying cause. A gallbladder polyp will be within the gallbladder rather than in the ducts and will not demonstrate posterior acoustic shadowing. Adenomyomatosis is suspected when there are small hyperechoic foci in a frequently thickened gallbladder wall. A choledochocele does not match the description in this case, it is instead a focal dilatation of the intramural segment of the distal common bile duct within the duodenal wall.
Incidentally Detected 7 mm Gallbladder Polyp
Published in Savio George Barreto, Shailesh V. Shrikhande, Dilemmas in Abdominal Surgery, 2020
In addition to the presence of symptoms and underlying risk factors, the management of a gallbladder polyp is largely determined on its size. The most common modalities employed in the imaging of gallbladder polyps are transabdominal ultrasound and/or endoscopic ultrasound.
Gastrointestinal and hepatobiliary
Published in Dave Maudgil, Anthony Watkinson, The Essential Guide to the New FRCR Part 2A and Radiology Boards, 2017
Dave Maudgil, Anthony Watkinson
The following conditions are associated with an increased incidence of malignancy. True or false? Porcelain gallbladder.Gallbladder polyp >1 cm.Pancreatic divisum.Chronic pancreatitis.Glycogen storage disease.
Gallbladder Polyps in Metachromatic Leukodystrophy
Published in Fetal and Pediatric Pathology, 2018
Saeeda Almarzooqi, Asif Quadri, Alia Albawardi
Gallbladder carcinoma can occur in the pediatric population [7]. The reported higher prevalence of dysplasia and carcinoma in patients with MLD suggests a putative role for sulfatides in carcinogenesis [7,15]. Low grade dysplasia has been detected in a gallbladder polyp as early as 2 years of age [9]. Increased levels of sulfatides have been demonstrated in other malignancies, e.g., gastric, renal, colonic and ovarian carcinoma [3].