Acute calculous cholecystitis

Case contributed by Dr Abdallah Mohamed


Patient presented with right hypochondrial and epigastric pain for the last 5 days

Patient Data

Age: 45 years
Gender: Female

The GB wall is thickened and edematous with pericholecystic fluid. Dependent small dense calculi are noted resembling milk of calcium. 

Left rectus abdominis muscle shows focal thickening and subcutaneous linear stranding from previous laparoscopic intervention.

Case Discussion

CT is not routinely done for suspected cholecystitis and usually reserved to detected complication such as gangrenous or emphysematous transformation and pericholecystic abscesses. 

Features of calculous cholecystitis in CT are similar to that detected in ultrasound such as detection of intraluminal gallstones, wall thickening and edema, pericholecystic fluid.

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Case information

rID: 72692
Published: 8th Dec 2019
Last edited: 9th Dec 2019
Inclusion in quiz mode: Included