Small, abnormal gallbladder in a year 13 year old MN DSH
13 year old MN DSH presented for chronic inappropriate elimination and recurrent UTI’s. Bloodwork showed ALP=213, ALT=393, and Tbil=2.0. Abdominal US showed a normal urinary tract but an abnormal gallbladder. The gallbladder is small with a thickened, layered wall and an echogenic rim around the outside of the gallbladder. My differential diagnoses are choleycystitis, cholangiohepatitis,…