Acute cholecystitis

Case contributed by Shervin Sharifkashani
Diagnosis almost certain


Right upper quadrant pain, nausea, and intermittent vomiting for five days.

Patient Data

Age: 70 years
Gender: Male

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.