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Gallstones
Roya Sohaey, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Echogenic material in gallbladder (GB)
                • Stones or sludge
                  • Sludge is concentrated echogenic bile

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Troyano-Luque J et al: Short and long term outcomes associated with fetal cholelithiasis: a report of two cases with antenatal diagnosis and postnatal follow-up. Case Rep Obstet Gynecol. 2014:714271, 2014
                                  2. Triunfo S et al: Fetal cholelithiasis: a diagnostic update and a literature review. Clin Med Insights Case Rep. 6:153-8, 2013
                                  3. Tam PY et al: Perinatal detection of gallstones in siblings. Am J Perinatol. 27 (10): 771-4, 2010
                                  4. Sheiner E et al: Fetal gallstones detected by routine third trimester ultrasound. Int J Gynaecol Obstet. 92(3):255-6, 2006
                                  5. Munjuluri N et al: Fetal gallstones. Fetal Diagn Ther. 20(4):241-3, 2005
                                  6. Cancho Candela R et al: [Echogenic material in fetal gallbladder: prenatal diagnosis and postnatal follow-up.] An Pediatr (Barc). 61(4):326-9, 2004
                                  7. Agnifili A et al: Fetal cholelithiasis: a prospective study of incidence, predisposing factors, and ultrasonographic and clinical features. Clin Pediatr (Phila). 38(6):371-3, 1999
                                  8. Hertzberg BS et al: Fetal gallstones in a contracted gallbladder: potential to simulate hepatic or peritoneal calcification. J Ultrasound Med. 17(10):667-70, 1998
                                  9. Suma V et al: Fetal gallstones: sonographic and clinical observations. Ultrasound Obstet Gynecol. 12(6):439-41, 1998
                                  10. Petrikovsky B et al: Sludge in fetal gallbladder: natural history and neonatal outcome. Br J Radiol. 69(827):1017-8, 1996
                                  11. Debray D et al: Cholelithiasis in infancy: a study of 40 cases. J Pediatr. 122(3):385-91, 1993
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Echogenic material in gallbladder (GB)
                                                • Stones or sludge
                                                  • Sludge is concentrated echogenic bile

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Consider

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Troyano-Luque J et al: Short and long term outcomes associated with fetal cholelithiasis: a report of two cases with antenatal diagnosis and postnatal follow-up. Case Rep Obstet Gynecol. 2014:714271, 2014
                                                                  2. Triunfo S et al: Fetal cholelithiasis: a diagnostic update and a literature review. Clin Med Insights Case Rep. 6:153-8, 2013
                                                                  3. Tam PY et al: Perinatal detection of gallstones in siblings. Am J Perinatol. 27 (10): 771-4, 2010
                                                                  4. Sheiner E et al: Fetal gallstones detected by routine third trimester ultrasound. Int J Gynaecol Obstet. 92(3):255-6, 2006
                                                                  5. Munjuluri N et al: Fetal gallstones. Fetal Diagn Ther. 20(4):241-3, 2005
                                                                  6. Cancho Candela R et al: [Echogenic material in fetal gallbladder: prenatal diagnosis and postnatal follow-up.] An Pediatr (Barc). 61(4):326-9, 2004
                                                                  7. Agnifili A et al: Fetal cholelithiasis: a prospective study of incidence, predisposing factors, and ultrasonographic and clinical features. Clin Pediatr (Phila). 38(6):371-3, 1999
                                                                  8. Hertzberg BS et al: Fetal gallstones in a contracted gallbladder: potential to simulate hepatic or peritoneal calcification. J Ultrasound Med. 17(10):667-70, 1998
                                                                  9. Suma V et al: Fetal gallstones: sonographic and clinical observations. Ultrasound Obstet Gynecol. 12(6):439-41, 1998
                                                                  10. Petrikovsky B et al: Sludge in fetal gallbladder: natural history and neonatal outcome. Br J Radiol. 69(827):1017-8, 1996
                                                                  11. Debray D et al: Cholelithiasis in infancy: a study of 40 cases. J Pediatr. 122(3):385-91, 1993