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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.


Frontal view of the abdomen, approximately 30 minutes after injecting Tc-99-m HIDA.  Radiotracer has been excreted by the liver into the biliary tree. An oblong collection of radiotracer conforming to the shape of the gallbladder is present inferior to the liver.  Is this the gallbladder?
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MPX1707_synpic21451: Frontal view of the abdomen, approximately 30 minutes after injecting Tc-99-m HIDA. Radiotracer has been excreted by the liver into the biliary tree. An oblong collection of radiotracer conforming to the shape of the gallbladder is present inferior to the liver. Is this the gallbladder?


Acute cholecystitis

Sutcliffe JBS - MedPix

Frontal view of the abdomen, approximately 30 minutes after injecting Tc-99-m HIDA.  Radiotracer has been excreted by the liver into the biliary tree. An oblong collection of radiotracer conforming to the shape of the gallbladder is present inferior to the liver.  Is this the gallbladder?
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1707_synpic21451: Frontal view of the abdomen, approximately 30 minutes after injecting Tc-99-m HIDA. Radiotracer has been excreted by the liver into the biliary tree. An oblong collection of radiotracer conforming to the shape of the gallbladder is present inferior to the liver. Is this the gallbladder?

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.