Saturday, February 10, 2024

Gallbladder polyp sonography


# Ultrasound and Color Doppler Imaging of Gallbladder Polyp:

- Ultrasound is the initial imaging modality for gallbladder polyps due to its affordability, accessibility, and safety.
- Color Doppler imaging can assess blood flow within the polyp, aiding in differentiation between benign and malignant lesions.

**GB Polyp without Vascularity:

- Lack of vascularity on color Doppler suggests a higher likelihood of a benign polyp, often a cholesterol polyp.
- However, absence of flow doesn't guarantee benignancy. Further evaluation may be needed.

Ultrasound images of the polyp on inferior wall of GB:
Color Doppler image: no vascularity 
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**Differential Diagnoses:

- Cholesterol polyp (most common, usually benign)
- Inflammatory polyp (secondary to inflammation, usually benign)
- Adenomyomatosis polyp (focal thickening, usually benign)
- True neoplastic polyp (rare, may be malignant)

**Prognosis and Management:

- Prognosis depends on polyp characteristics, size, and underlying conditions.
- Management varies based on factors like size, patient symptoms, and risk factors.
- Small, non-vascular polyps often require monitoring; larger polyps or those with concerning features may necessitate surgery (cholecystectomy).

Remember, this information is for educational purposes only.

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