Nonvisualization of the Gallbladder: Causes & Reasons

Possible Causes for Nonvisualization of the Gallbladder

A positive HBI was one in which there was nonvisualization of the gallbladder up to four hours after the administration of technetium Tc 99m—disofenin. [doi.org]

A positive HBI was one in which there was nonvisualization of the gallbladder up to four hours after the administration of technetium Tc 99m-disofenin. [ncbi.nlm.nih.gov]

Nonvisualization of the gallbladder (within 4 hr) is diagnostic of cystic duct occlusion. (See Figure 2 .) [clinicaladvisor.com]

Gallbladder Sludge

nonfilling gallbladder, nonvisualization of the gallbladder 胆嚢内沈殿物・浮遊物 debris 超音波検査（法） ultrasonography 超音波透明帯 sonolucent layer 超音波内視鏡下穿刺（術） EUS-guided fine needle aspiration [jsge.or.jp]

With cystic duct obstruction (cholecystitis), the HIDA scan shows nonvisualization (ie, considered positive) of the gallbladder at 60 minutes and uptake in the intestine as [emedicine.medscape.com]

[…] cholangioscopy 胆道造影（法） cholangiography 胆道内圧測定（法） cholangiomanometry, manometry of biliary tract, measurement of bile duct pressure, biliary manometry 胆嚢造影陰性 non-opacification of the gallbladder [jsge.or.jp]

Cholecystectomy

No study that we encountered looked at nonvisualization of the gallbladder (GB) during surgery as a risk factor. [ncbi.nlm.nih.gov]

We hypothesized that nonvisualization was associated with an increased risk of complications and could be an early intraoperative identifier of a higher risk procedure. [ncbi.nlm.nih.gov]

Autonomic Neuropathy

Autonomic neuropathy Specialty Neurology Autonomic neuropathy (AN or AAN) is a form of polyneuropathy that affects the non-voluntary, non-sensory nervous system (i.e., the autonomic nervous system), affecting mostly the internal organs such as the bladder muscles, the cardiovascular system, the digestive tract,[…] [en.wikipedia.org]

Gallbladder Carcinoma

Gene. 2015 Nov 1;572(1):87-94. doi: 10.1016/j.gene.2015.06.080. Epub 2015 Jul 2. Author information 1 Department of Hepatobiliary Surgery, Affiliated Hospital, Logistics University of the Chinese People's Armed Police Forces, Tianjin 300162, China. Electronic address: zhaj_1023@163.com. 2 Department of Oncology Surgery, The[…] [ncbi.nlm.nih.gov]

Primary Biliary Cirrhosis

Primary biliary cholangitis Other names Primary biliary cirrhosis Micrograph of PBC showing bile duct inflammation and injury. H&E stain. Specialty Gastroenterology Symptoms Cholestasis, pruritus, fatigue Complications Cirrhosis, hepatic failure, portal hypertension Usual onset Usually middle-aged women Causes Autoimmune[…] [en.wikipedia.org]

Fucosidosis

Journal List J Pediatr Neurosci v.9(2); May-Aug 2014 PMC4166842 J Pediatr Neurosci. 2014 May-Aug; 9(2): 156–158. Abstract Fucosidosis is a rare lysosomal storage disorder due to deficiency of fucosidase enzyme, with around 100 cases reported worldwide. Here, we describe the clinical and imaging features in two[…] [ncbi.nlm.nih.gov]

Cystic Duct Obstruction

Nonvisualization at 1 Hour Nonvisualization of the gallbladder at 1 hour is one of the most common problems faced in hepatobiliary scintigraphy. [med.harvard.edu]

2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes nonvisualization of gallbladder ( R93.2 ) postcholecystectomy syndrome ( K91.5 ) Other diseases of gallbladder [icd10data.com]

[…] reveals nonvisualized gallbladder Treatment The primary treatment for symptomatic gallstone disease is cholecystectomy. [clevelandclinicmeded.com]

Chronic Cholecystitis

Using nonvisualization of the gallbladder for up to 4 h as the criterion for acute cholecystitis, the sensitivity and specificity for acute cholecystitis were 97 and 66%, [ncbi.nlm.nih.gov]

Cholescintigraphy may show nonvisualization of the gallbladder but is less accurate. [merckmanuals.com]

A positive HBI was one in which there was nonvisualization of the gallbladder up to four hours after the administration of technetium Tc 99m—disofenin. [doi.org]

Acute Emphysematous Cholecystitis

“Nonvisualized gallbladder” is considered to be part of the spectrum of sonographic findings of emphysematous cholecystitis. [medical-case-reports.imedpub.com]

Hepatobiliary iminodiacetic acid imaging typically demonstrates nonvisualization of the gallbladder and may show increased activity in the gallbladder fossa, known as the [radiologytoday.net]

[…] wall gas can be interpreted as nonvisualization of the gallbladder, resulting in false-negative results from the scans. [6] In addition, the characteristic ultrasonographic [emedicine.medscape.com]

Hydrops of the Gallbladder

2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes nonvisualization of gallbladder ( R93.2 ) postcholecystectomy syndrome ( K91.5 ) Other diseases of gallbladder [icd10data.com]

Nonvisualization of the gallbladder (within 4 hr) is diagnostic of cystic duct occlusion. (See Figure 2.) [clinicaladvisor.com]

Nonvisualization of the gallbladder There can be many reasons why the gallbladder is not seen with ultrasound. [radiologykey.com]

Gallbladder Displacement

ABDOMEN: Gallbladder G-108 Nonvisualization of the Gallbladder (Ultrasound, CT, Nuclear Scan)) G-109 Small or Contracted Gallbladder (Ultrasound, CT, MRI) G-110 Enlarged Gallbladder [gamuts.isradiology.org]

Of the fourteen patients, eight of them had a retrohepatic gallbladder. Two of the eight were secondary to agenesis and the other six secondary to atrophy [5]. [elynsgroup.com]

This study suggested that agenesis is highly substantiated when nonvisualization of the right hepatic vein, right portal vein, and right intrahepatic ducts are present. [elynsgroup.com]

Gallbladder Perforation

[…] different imaging patterns: 1) visualization of the gallbladder with bile leakage, 2) nonvisualization of the gallbladder with a photopenic fluid collection, and 3) nonvisualization [ncbi.nlm.nih.gov]

2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes nonvisualization of gallbladder ( R93.2 ) postcholecystectomy syndrome ( K91.5 ) Other diseases of gallbladder [icd10data.com]

[…] of the gallbladder with bile leakage. [ncbi.nlm.nih.gov]

Wisconsin Syndrome

Note persistent nonvisualization of the gallbladder and minimal activity within the small bowel. Courtesy of Dr. [emedicine.medscape.com]

Note the nonvisualization of gallbladder and small bowel activity. Lower activity is within the urinary bladder. Courtesy of Dr. [emedicine.medscape.com]

Mirizzi Syndrome

Note persistent nonvisualization of the gallbladder and minimal activity within the small bowel. Courtesy of Dr. [emedicine.medscape.com]

Nonvisu-alization of the gallbladder 1 hour following administration of the radionuclide is considered evidence of cystic duct obstruction. [pubs.rsna.org]

Note the nonvisualization of gallbladder and small bowel activity. Lower activity is within the urinary bladder. Courtesy of Dr. [emedicine.medscape.com]

Oculorenocerebellar Syndrome

[…] of gallbladder, cholecytectomy, obstruction of cystic duct, chronic cholecystitis, anomolous position of gall bladder, extrabiliary causes, fasting state, failure to reach [kmle.co.kr]

[…] than 5mg% (unless secondary to haemolysis), contraindicated in serious liver disease, relative contraindications in peritonitis, postoperative ileus, acute pancreatitis nonvisualization [kmle.co.kr]

Biliary Fistula

However, a nonvisualized or shrunken gallbladder seen at US often coexisted in these cases. [ncbi.nlm.nih.gov]

Cholecystitis

A positive HBI was one in which there was nonvisualization of the gallbladder up to four hours after the administration of technetium Tc 99m—disofenin. [doi.org]

Nonvisualization of the gallbladder (within 4 hr) is diagnostic of cystic duct occlusion. (See Figure 2 .) [oncologynurseadvisor.com]

Biliary patency imaging after endoscopic retrograde sphincterotomy with gallbladder in situ. Clinical impact of nonvisualization. [appliedradiology.com]

Cholesterol Polyp of the Gallbladder

2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes nonvisualization of gallbladder ( R93.2 ) postcholecystectomy syndrome ( K91.5 ) Other diseases of gallbladder [icd10data.com]

Nonvisualization of gallbladder• Previous cholecystectomy• Chronic cholecystitis• Contracted GB: postprandial – cystic fibrosis• Porcelain gallbladder with shadowing• Air-filled [slideshare.net]

[…] reveals nonvisualized gallbladder Treatment The primary treatment for symptomatic gallstone disease is cholecystectomy. [clevelandclinicmeded.com]

Rotor Syndrome

In the patients with Dubin-Johnson syndrome, the cholescintigrams had a characteristic pattern of delayed visualization or nonvisualization of the gallbladder and bile ducts [osti.gov]

Biliary Atresia

Prenatal series have yielded conflicting results concerning a possible association between BA and prenatal nonvisualization of the gallbladder. [ncbi.nlm.nih.gov]

AIMS: This retrospective case series was performed to assess the association between biliary atresia, prenatal nonvisualization of the gallbladder and other sonographic signs [ncbi.nlm.nih.gov]

RESULTS: Twenty five charts of children with biliary and high quality prenatal images were retrieved. 6/25 (24%) of cases analyzed had prenatal nonvisualization of the gallbladder [ncbi.nlm.nih.gov]

Solitary Renal Cyst

Additional diagnostic studies CCK (cholecystokinin) cholescintigraphy to define function and emptying rate, disease may be indicated by: – Nonvisualization of the gallbladder [clinicaladvisor.com]

– CT will define mass and vascularity, as well as extension out of gallbladder into surrounding tissues. – ERCP may be needed to exclude bile duct involvement. [clinicaladvisor.com]

Congenital Liver Cyst

– CT will define mass and vascularity, as well as extension out of gallbladder into surrounding tissues. – ERCP may be needed to exclude bile duct involvement. [clinicaladvisor.com]

Calcification of the Gallbladder

2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes nonvisualization of gallbladder ( R93.2 ) postcholecystectomy syndrome ( K91.5 ) Other diseases of gallbladder [icd10data.com]

[…] and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94 ) Diseases of the digestive system K82 ICD-10-CM Diagnosis Code K82 Other diseases of gallbladder [icd10data.com]

Biliary Dyskinesia

2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes nonvisualization of gallbladder ( R93.2 ) postcholecystectomy syndrome ( K91.5 ) Other diseases of gallbladder [icd10data.com]

[…] reveals nonvisualized gallbladder Treatment The primary treatment for symptomatic gallstone disease is cholecystectomy. [clevelandclinicmeded.com]

Biliary Colic

After administration of cholecystokinin (CCK), nonvisualization of the gallbladder on HIDA scan is consistent with acute cholecystitis, while visualization of the gallbladder [doi.org]

[…] reveals nonvisualized gallbladder Treatment The primary treatment for symptomatic gallstone disease is cholecystectomy. [clevelandclinicmeded.com]

With cystic duct obstruction (cholecystitis), the HIDA scan shows nonvisualization (ie, considered positive) of the gallbladder at 60 minutes and uptake in the intestine as [emedicine.com]

Choledochal Cyst

[…] cholecystitis and that large choledochal cysts may compress the gallbladder, leading to nonvisualization. [emedicine.medscape.com]

Nonvisualization of the gallbladder occurred in 18 (67%) of 27 patients at 4 hours after injection of the radionuclide. [emedicine.medscape.com]

Kao and co-investigators concluded that nonvisualization of the gallbladder on cholescintigraphy in patients with choledochal cysts is not necessarily indicative of acute [emedicine.medscape.com]

Meconium Peritonitis

The inability to visualize the gallbladder on fetal ultrasound has also been associated with CF.67 Combined with other sonographic features, nonvisualization of the gallbladder [clinicalgate.com]

Sonographic Evaluation Sonographic characteristics associated with MI include a hyperechoic, intra-abdominal mass (inspissated meconium) (Fig. 32-3), dilated bowel, and nonvisualization [clinicalgate.com]

[…] of the gallbladder.52 Normal fetal meconium, when visualized in the second and third trimesters, is usually hypoechoic or isoechoic to adjacent abdominal structures.52–57 [clinicalgate.com]

Congenital Herpes Simplex Infection

Magnetic resonance cholangiopancreatography showed nonvisualization of the gallbladder and liver was normal with intrahepatic biliary radicals not dilated (? [mjdrdypv.org]

Malignant Neoplasm of the Gallbladder

Nonvisualization of the gallbladder and the presence of gallstones within the mass are helpful in making the diagnosis. [pubs.rsna.org]

[…] reveals nonvisualized gallbladder Treatment The primary treatment for symptomatic gallstone disease is cholecystectomy. [clevelandclinicmeded.com]

Gallbladder carcinoma most commonly manifests as a large solid mass in the gallbladder fossa obscuring the gallbladder, with extension into the liver or adjacent organs (, [pubs.rsna.org]