Acute calcular cholecystitis and Mirizzi syndrome

Case contributed by Ammar Haouimi

Presentation

Right upper quadrant pain with fever

Patient Data

Age: 40 years
Gender: Female

The gallbladder is distended containing multiple gallstones and sludge, and one of the stones is lodged in the gallbladder neck. It has a thickened and enhancing wall. There is an enhancement of the adjacent liver parenchyma (reactive hyperemia). The combination of findings is compatible with acute cholecystitis.

The impacted gallstone in the gallbladder neck compresses the common hepatic duct (CHD) with mild dilatation of the intrahepatic biliary ducts.

 

Case Discussion

MRI features of an acute calculous cholecystitis, with Mirizzi syndrome 

 

Additional contributor: ZE. Boudiaf, MD CHU Constantine

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