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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 4 hour lateral view. Radiotracer is distributed throughout the small bowel. Anterior and inferior to the liver, there is no focal collection of radiotracer suggestive of a gallbladder. There is a faint collection of radiotracer in the liver parenchyma surrounding the gallbladder fossa (arrow), which demonstrates a positive scintigraphic rim sign.
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MPX1707_synpic21454: Revisiting the 4 hour lateral view. Radiotracer is distributed throughout the small bowel. Anterior and inferior to the liver, there is no focal collection of radiotracer suggestive of a gallbladder. There is a faint collection of radiotracer in the liver parenchyma surrounding the gallbladder fossa (arrow), which demonstrates a positive scintigraphic rim sign.


Acute cholecystitis

Sutcliffe JBS - MedPix

Revisiting the 4 hour lateral view. Radiotracer is distributed throughout the small bowel. Anterior and inferior to the liver, there is no focal collection of radiotracer suggestive of a gallbladder. There is a faint collection of radiotracer in the liver parenchyma surrounding the gallbladder fossa (arrow), which demonstrates a positive scintigraphic rim sign.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1707_synpic21454: Revisiting the 4 hour lateral view. Radiotracer is distributed throughout the small bowel. Anterior and inferior to the liver, there is no focal collection of radiotracer suggestive of a gallbladder. There is a faint collection of radiotracer in the liver parenchyma surrounding the gallbladder fossa (arrow), which demonstrates a positive scintigraphic rim sign.

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.