The galbladder wall thickness of 19 malignant and 20 benign ascitic patients were measured with special attention to double-walled appearance and to relation of recent seral albumin levels. Our study indicated that in patients with ascites, either malignant or benign, gallbladder wall thickness increased significantly (mean thickness 5.3mm). However, there was no significant distinction of gallbladder wall thickness between benign and malignant ascitic patients (malignant 5.04 mm v.s. benign 5.57 mm, p>0.5). Yhr double-walled appearance of gallbladder wall on sonogram was present in both benign and malignant ascites. Our results are not consistent with those of Tsujimoto's study in 1985 which denoted that under the condition of seral albumin level equal to or greater than 2.5 g/dl a sonographically single-welled gallbladder in the presence of ascites indicated carcinomatous peritonitis, and a double-walled gallbladder indicated non-malignant ascites.
The galbladder wall thickness of 19 malignant and 20 benign ascitic patients were measured with special attention to double-walled appearance and to relation of recent seral albumin levels. Our study indicated that in patients with ascites, either malignant or benign, gallbladder wall thickness increased significantly (mean thickness 5.3mm). However, there was no significant distinction of gallbladder wall thickness between benign and malignant ascitic patients (malignant 5.04 mm v.s. benign 5.57 mm, p>0.5). Yhr double-walled appearance of gallbladder wall on sonogram was present in both benign and malignant ascites. Our results are not consistent with those of Tsujimoto's study in 1985 which denoted that under the condition of seral albumin level equal to or greater than 2.5 g/dl a sonographically single-welled gallbladder in the presence of ascites indicated carcinomatous peritonitis, and a double-walled gallbladder indicated non-malignant ascites.