Acute cholecystitis

Case contributed by Dr Bruno Di Muzio

Presentation

Vomiting and epigastric tenderness.

Patient Data

Age: 85
Gender: Male

CT Abdomen

Modality: CT

CT scan without contrast shows thickening of the walls of the gallbladder, small radiopaque calculations inside, blurring of fat planes around and small stone about 6.0 mm inside the cystic duct.Also observed small pleural effusion at the right base.

Modality: Annotated image

Curved MPR showing the the union of the common hepatic duct and the cystic duct and the stone inside cystic duct.

Case Discussion

Acute cholecystitis is inflammation of the gallbladder that develops over hours, usually because a gallstone obstructs the cystic duct, as shown on this case. 

Ultrasound is the imaging method of choice for cases where there is suspicion of biliary lithiasis. This case was directed to CT for emergency room physician on behalf of other comorbidities suspected.

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Case Information

rID: 17787
Case created: 12th May 2012
Last edited: 26th Apr 2017
Inclusion in quiz mode: Included

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