Kaftori J K, Pery M, Green J, Gaitini D
AJR Am J Roentgenol. 1987 Jun;148(6):1117-8. doi: 10.2214/ajr.148.6.1117.
Thickening of the gallbladder wall in patients with ascites has been attributed not to the presence of ascites but to the associated hypoalbuminemia. The contribution of hypoalbuminemia was examined by sonographically measuring the thickness of the gallbladder wall in 12 patients with chronic renal failure who were on peritoneal dialysis. All patients had hypoalbuminemia, with serum albumin levels of 2.2-3.3 g/dl (normal range, 3.5-5.0 g/dl). In all patients, the thickness of the gallbladder wall was within the normal range of less than 3 mm. In the patients studied, hypoalbuminemia was not a cause of thickening of the gallbladder wall even when peritoneal fluid was present.
腹水患者胆囊壁增厚一直被认为不是由于腹水的存在，而是由于相关的低白蛋白血症。通过超声测量12例接受腹膜透析的慢性肾衰竭患者的胆囊壁厚度，研究了低白蛋白血症的影响。所有患者均有低白蛋白血症，血清白蛋白水平为2.2 - 3.3 g/dl（正常范围为3.5 - 5.0 g/dl）。所有患者的胆囊壁厚度均在正常范围内，小于3 mm。在所研究的患者中，即使存在腹腔积液，低白蛋白血症也不是胆囊壁增厚的原因。
