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Acute cholecystitis

Sutcliffe JBS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Acute cholecystitis

History: Acute onset of right upper quadrant pain and emesis

Findings: Sonographic images demonstrate cholelithiasis, gallbladder wall thickening. Positive sonographic Murphy's sign was present during examination. Cholescintigraphic images (HIDA scan) demonstrate nonvisualization of the gallbladder at one hour and also 30 minutes after the injection of morphine. A scintigraphic rim sign is also present.

Ddx: Acute cholecystitis Acute biliary colic Chronic cholecystitis

Dxhow: Surgically - cholecystectomy was performed following the positive HIDA scan and revealed acute inflammatory cholecystitis with a single large stone

Exam: RUQ tenderness Mildly elevated white count Afebrile

No MeSH data available.


2D gray scale axial ultrasound image through the neck region of the gallbladder demonstrates cholelithiasis. Gallbladder wall thickening to .4 cm was also present although not demonstrated well on this image. Sonographic Murphy's sign was also present.
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MPX1707_synpic21450: 2D gray scale axial ultrasound image through the neck region of the gallbladder demonstrates cholelithiasis. Gallbladder wall thickening to .4 cm was also present although not demonstrated well on this image. Sonographic Murphy's sign was also present.


Acute cholecystitis

Sutcliffe JBS - MedPix

2D gray scale axial ultrasound image through the neck region of the gallbladder demonstrates cholelithiasis. Gallbladder wall thickening to .4 cm was also present although not demonstrated well on this image. Sonographic Murphy's sign was also present.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1707&req=5

MPX1707_synpic21450: 2D gray scale axial ultrasound image through the neck region of the gallbladder demonstrates cholelithiasis. Gallbladder wall thickening to .4 cm was also present although not demonstrated well on this image. Sonographic Murphy's sign was also present.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Acute cholecystitis

History: Acute onset of right upper quadrant pain and emesis

Findings: Sonographic images demonstrate cholelithiasis, gallbladder wall thickening. Positive sonographic Murphy's sign was present during examination. Cholescintigraphic images (HIDA scan) demonstrate nonvisualization of the gallbladder at one hour and also 30 minutes after the injection of morphine. A scintigraphic rim sign is also present.

Ddx: Acute cholecystitis Acute biliary colic Chronic cholecystitis

Dxhow: Surgically - cholecystectomy was performed following the positive HIDA scan and revealed acute inflammatory cholecystitis with a single large stone

Exam: RUQ tenderness Mildly elevated white count Afebrile

No MeSH data available.