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Acute acalculous cholecystitis

Becker RLB - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Acute acalculous cholecystitis

History: 79 y.o. man with right sided abdominal pain starting in the morning, persisting until presentation in the late afternoon. Mild nausea. No vomiting. No bowel movement. No fever/chills.

Findings: • Diffuse gallbladder wall thickening and enhancement, with apparent septa or folds. • Pericholecystic fat stranding. No definite pericholecystic fluid. • No intrahepatic or extrahepatic ductal dilatation.

Ddx: • Cholecystitis - acute, chronic, xanthogranulomatous • Gallbladder carcinoma

Dxhow: Sonogram confirmed cholecystitis and no cholelithiasis.

Exam: Hypo-active bowel sounds. Right mid-abdominal tenderness with rebound. No guarding. WBC: 19.8 AST: slightly elevated ALP: 110 Bili: 1.3

No MeSH data available.


Diffuse gallbladder wall thickening and enhancement, with apparent septa or folds.  Pericholecystic fat stranding.  No definite pericholecystic fluid. No intrahepatic or extrahepatic ductal dilatation.
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MPX1693_synpic53634: Diffuse gallbladder wall thickening and enhancement, with apparent septa or folds. Pericholecystic fat stranding. No definite pericholecystic fluid. No intrahepatic or extrahepatic ductal dilatation.


Acute acalculous cholecystitis

Becker RLB - MedPix (2010)

Diffuse gallbladder wall thickening and enhancement, with apparent septa or folds.  Pericholecystic fat stranding.  No definite pericholecystic fluid. No intrahepatic or extrahepatic ductal dilatation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=MPX1693&req=5

MPX1693_synpic53634: Diffuse gallbladder wall thickening and enhancement, with apparent septa or folds. Pericholecystic fat stranding. No definite pericholecystic fluid. No intrahepatic or extrahepatic ductal dilatation.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Acute acalculous cholecystitis

History: 79 y.o. man with right sided abdominal pain starting in the morning, persisting until presentation in the late afternoon. Mild nausea. No vomiting. No bowel movement. No fever/chills.

Findings: • Diffuse gallbladder wall thickening and enhancement, with apparent septa or folds. • Pericholecystic fat stranding. No definite pericholecystic fluid. • No intrahepatic or extrahepatic ductal dilatation.

Ddx: • Cholecystitis - acute, chronic, xanthogranulomatous • Gallbladder carcinoma

Dxhow: Sonogram confirmed cholecystitis and no cholelithiasis.

Exam: Hypo-active bowel sounds. Right mid-abdominal tenderness with rebound. No guarding. WBC: 19.8 AST: slightly elevated ALP: 110 Bili: 1.3

No MeSH data available.