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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.


Revisiting the 30 minute frontal view.  The arrow pointing to the lower oblong collection of radiotracer is not the gallbladder and is actually radiotracer within the duodenum. The arrowhead pointing to the more superior tubular collection of radiotracer is within the common bile duct.
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MPX1707_synpic21453: Revisiting the 30 minute frontal view. The arrow pointing to the lower oblong collection of radiotracer is not the gallbladder and is actually radiotracer within the duodenum. The arrowhead pointing to the more superior tubular collection of radiotracer is within the common bile duct.


Acute cholecystitis

Sutcliffe JBS - MedPix

Revisiting the 30 minute frontal view.  The arrow pointing to the lower oblong collection of radiotracer is not the gallbladder and is actually radiotracer within the duodenum. The arrowhead pointing to the more superior tubular collection of radiotracer is within the common bile duct.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1707_synpic21453: Revisiting the 30 minute frontal view. The arrow pointing to the lower oblong collection of radiotracer is not the gallbladder and is actually radiotracer within the duodenum. The arrowhead pointing to the more superior tubular collection of radiotracer is within the common bile duct.

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.