Acute calcular cholecystitis
Citation, DOI, disclosures and case data
Iqbal S, Acute calcular cholecystitis. Case study, Radiopaedia.org (Accessed on 30 Mar 2023) https://doi.org/10.53347/rID-76965
At the time the case was submitted for publication Subhan Iqbal had no recorded disclosures.View Subhan Iqbal's current disclosures
9 Jun 2020
5 times, by 3 contributors - see full revision history and disclosures
Dr. Ziauddin Hospitals
RUQ pain and fever
Age: 50 years
From the case: Acute calcular cholecystitis
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Gallbladder distension more than 10 cm, surrounding edema and streak of free fluid, gallstone obstructing the neck of GB, moderate amount of sludge, wall thickening more than 5mm, sonographic Murphy's sign positive. Features of acute cholecystitis.
1 case question available
The most sensitive ultrasound finding in acute cholecystitis is the presence of cholelithiasis in combination with the sonographic Murphy sign. Both gallbladder wall thickening (>3 mm) and pericholecystic fluid are secondary findings.