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On CT and MR, polypoid cancers enhance homogeneously after administration of contrast medium, and the adjacent gallbladder wall may be thickened.
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Measurement of the posterior wall may be inaccurate due to difficulty in delineating the outer wall of the gallbladder which usually abuts gas-filled intestinal structures.
The gallbladder wall may also be involved, demonstrating wall thickening and enhancement [40, 41].
Stones in the gallbladder neck may be overlooked due to edge shadowing artifact.
Gallbladder ischemia may be due to systemic hypotension, possibly exacerbated by increased intraluminal pressure from bile stasis, which together decrease the gallbladder perfusion pressure [5,6].
Obstructed, distended gallbladder may be palpable on the inferior liver edge.
The gallbladder may be difficult to identify in chronic cholecystitis, especially when filled with stones.
Wall calcification may be present.
The gallbladder wall should be measured along the anterior wall between the lumen and the liver parenchyma.
APBJ is a rare congenital anomaly in which the pancreatic and biliary ducts are joined outside the duodenal wall [15], which may be diagnosed by distention of the gallbladder during SS-MRCP.
The gallbladder wall is thin and there are rich lymphatic and perivascular tissues around the gallbladder, facilitating cancer cell invasion into the surrounding tissues.
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