Acute cholecystitis
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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. |
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MPX1707_synpic21452: Lateral view of abdomen 4 hours after HIDA injection. Radiotracer is seen inferior and posterior to the liver. What happened to the oblong collection of radiotracer seen on the 1 hour frontal view? What is the faint collection of radiotracer in the gallbadder fossa? Is the gallbladder visualized here? |
View Article: MedPix Image - MedPix Case
Affiliation: Brooke Army Medical Center
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.