Pericholecystic abscess as a complication of cholecystitis

Case contributed by Dr Bruno Di Muzio

Presentation

Nausea, vomiting, and epigastric pain. Refers medical care for about 10 days for the same symptoms.

Patient Data

Age: 66
Gender: Female
CT

CT Abdomen and pelvis

CT image shows faint signals of acute cholecystitis with calcified micro gallstones, wall thickening and pericholecystic fat stranding. A small collection is identified in lower position, near lateroconal fascia, with capsular enhancement. 

In these images is better seen the biliary microlithiasis into gallbladder as well it`s wall thickened (3.7 - 4.0 mm - better demonstrated on ultrasound study). It is identified the communication path between gallbladder and fluid collection. 

Case Discussion

About 3 to 19% of acute cholecystitis are complicated with an abscess formation. Normally it's presented as small fluid collections near/adjacent to gallbladder with rim-enhancement, it can be also extended into the adjacent hepatic parenchyma.   

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Case information

rID: 24532
Case created: 23rd Aug 2013
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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