Thickening of the gallbladder wall in ascites
Authors:
- Guglielmo BuccinoGBGuglielmo Buccino
- Roberto ParraviciniRoberto Parravicini
- 1 July 1991
- journal article
- research article
- Published by Wiley in Journal of Clinical Ultrasound
- Vol. 19 (6) , 357-359
Abstract
The thickening of the gallbladder wall in patients with ascites is commonly related to hypoalbuminemia and/or portal hypertension. To evaluate the pathogenetic role of these two factors, we correlated gallbladder wall thickness (GBWT) with the albuminemia and the serum–ascites albumin gradient (SAAG), an index of portal hypertension, in 47 patients with ascites caused by cirrhosis of the liver or abdominal malignancy. We found a thickened gallbladder wall in 30/47 patients. The correlation between GBWT and SAAG was 0.64 (n = 47 p < 0.001). No correlation was found between GBWT and albuminemia (r = 0.04). We suggest that the sonographic finding of ascites and gallbladder wall thickening should be considered a valuable sign of transudative ascites and of portal hypertension whatever its cause.Keywords
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