Ultrasonographic findings in peptic ulcer disease and pancreatitis that simulate primary gallbladder disease.

Abstract

The ultrasonographic findings in two patients with peptic ulcer disease and one patient with acute pancreatitis are reported. In each case, the sonographic appearance simulated intrinsic gallbladder disease. Two patients had focal pericholecystic fluid collections and one had an inflammatory mass adjacent to the gallbladder. Each patient also demonstrated gallbladder wall thickening. Findings of a pericholecystic fluid collection or an inflammatory mass adjacent to the gallbladder appear to be nonspecific for cholecystitis, and should also suggest inflammation of adjacent organs.