Cholecystitis

Case contributed by Dr Subhan Iqbal

Presentation

RUQ pain and fever

Patient Data

Age: 50 years
Gender: Female

Gallbladder distension more than 10 cm, surrounding edema and streak of free fluid, gallstone obstructing the neck of GB, moderate amount of sludge, wall thickening more than 5mm, sonographic Murphy's sign positive. Features of acute cholecystitis.

Case Discussion

The most sensitive ultrasound finding in acute cholecystitis is the presence of cholelithiasis in combination with the sonographic Murphy sign. Both gallbladder wall thickening (>3 mm) and pericholecystic fluid are secondary findings.

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