Acute cholecystitis

Case contributed by Dr Saeed Soltany Hosn

Presentation

A 53-year-old man developed severe pain in the right upper quadrant of his abdomen. He has a history of cholelithiasis as well.

Patient Data

Age: 53-year
Gender: Male
CT

The wall of the gallbladder is thickened and mildly enhanced.There are multiple stone in the gallbladder, with stranding of peripheral fat. Density of the liver is decreased which is indicate fatty liver.

Case Discussion

Thickening and mild enhancement of the gallbladder wall associated with stranding of peripheral fat are consistent with acute cholecystitis.

He underwent laparoscopic cholecystectomy and diagnosis of cholecystitis was confirmed.

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