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Pericholecystic abscess as a complication of cholecystitis

Case contributed by Dr Bruno Di Muzio

Presentation

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

Patient Data

Age: 65 years
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
Published: 23rd Aug 2013
Last edited: 13th Oct 2020
Inclusion in quiz mode: Included

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