Ultrasound Mucocoele of the gallbladder

If the cystic duct is obstructed, usually by a stone which has failed to pass through to the CBD, the normal flow of bile from the gallbladder is interrupted. Chronic cystic duct obstruction causes the bile to be replaced by mucus secreted by the lining of the gallbladder, resulting in a mucocoele. The biliary ducts remain normal in calibre. If the gallbladder looks dilated, make a careful search for an obstructing lesion at the neck; a stone in the cystic duct is more difficult to identify on ultrasound as it is not surrounded by echo-free bile (Fig. below )/
image
Stone impacted in the neck of the gallbladder. The lefthand image is a TS through the neck demonstrating the impacted stone. The right-hand image
demonstrates the dilated gallbladder containing fine echoes from inspissated bile.

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