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Acute cholecystitis

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Acute right upper quadrant pain for last four days.

Patient Data

Age: 30 years
Gender: Male
ct

Gall bladder overdistension (11 x 5 cm), diffuse wall thickening, pericholecystic collection and fat stranding, lithiasis in gallbladder neck.

Case Discussion

Acute cholecystitis refers to the primary complication of cholelithiasis and the most common cause of acute right upper quadrant pain.

CT features of acute cholecystitis are cholelithiasis, gallbladder distension, wall thickening, mural or mucosal hyperenhancement, pericholecystic fluid and inflammatory fat stranding and enhancement of the adjacent liver parenchyma.

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