"Pseudogallbladder" appearance in partial afferent loop obstruction in a patient with cholecystectomy.
We have described a patient who was admitted to the hospital for evaluation of RUQ abdominal pain 40 years after a Billroth II gastrectomy, as well as a cholecystectomy of which the patient was unaware. Gray-scale abdominal ultrasonography and Tc 99m-IDA hepatobiliary imaging were interpreted as revealing an enlarged gallbladder and cholelithiasis. An obstructed afferent loop of the Billroth II anastomosis had mimicked a gallbladder on ultrasonography and hepatobiliary imaging.
D000343:Afferent Loop Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D000368:Aged; D001630:Bezoars / Q000601:surgery; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000175:diagnosis; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005704:Gallbladder / Q000002:abnormalities*; D006801:Humans; D007098:Imino Acids; D008297:Male; D011178:Postgastrectomy Syndromes / Q000175:diagnosis; D011183:Postoperative Complications / Q000601:surgery*; D011877:Radionuclide Imaging; D013667:Technetium; D019785:Technetium Tc 99m Disofenin; D014463:Ultrasonography
D007098:Imino Acids; D013667:Technetium; D019785:Technetium Tc 99m Disofenin