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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.


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?
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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?


Acute cholecystitis

Sutcliffe JBS - MedPix

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?
© Copyright Policy - open-access
Related In: Results  -  Collection

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

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

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.