Presentation
Right upper quadrant pain, nausea, and intermittent vomiting for five days.
Patient Data
The gallbladder is distended and has relatively increased wall thickness and wall irregularity. A few small calculi in the gallbladder fundus lumen are seen. Fat hernia in both sides inguinal more prominent in the left side is also seen.
Case Discussion
The case illustrates the contrast-enhanced MDCT features of pathology-proved acute cholecystitis. Acute cholecystitis is a surgical emergency and if improperly managed can lead to gallbladder perforation and peritonitis. Contrast-enhanced MDCT is a superior imaging modality for the evaluation of complications 1.