Emergency Ultrasonography


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Biliary Video Gallery

GB = Gallbladder
CBD = Common bile duct
IHC = Intrahepatic cholestasis
WES= Wall Echo Shadow

Normal

Normal GB in transverse.

Normal GB in longitudinal.

Other GB Variants

Bifid GB.

Duodenal bulb as GB fake-out.

GB with surrounding GI contents.

GB polyp in long axis.
Sludge

GB in transverse, adjacent to kidney, filled with sludge.

GB with sludge and pericholecystic fluid.

Huge CBD in sludge-filled GB.

Longitudinal GB with large stone and sludge.

Sludge, transverse GB.

Sludge-filled GB in transverse.

Subtle stones and sludge, longitudinal.

Wall Echo Shadow

WES GB long

WES GB long (2)

WES GB long (3)

Cholecystitis

Cholecystitis in 55yo with epigastric pain and vomiting. Thick wall and large gallstone.

Same patient with GB in longitudinal.

Cholecystitis in 83yo with nausea, abdominal pain. Note thick wall, fluid, gallstones.

Cholecystitis in 51yo with abdominal pain, thickened GB wall with stones.

Cholecystitis, thick wall with large neck stone.

Cholecystitis with thick wall, stones, sludge, and pericholecystic fluid.

Same patient in transverse.

Common Bile Duct Pathology

Dilated CBD in 43yo with gallstones.

Another large CBD, in longitudinal with color flow applied.

Big CBD in transverse, with color.

83yo with epigastric pain, big CBD in longitudinal.

Large CBD in transverse.

IHC with color.

Pneumobilia and air-filled GB.

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