Acute cholecystitis - Color Ultrasound


Title: Color Ultrasound - Acute cholecystitis
Diagnosis: Acute cholecystitis
Author: Dr.ROSSET Antoine
Comment: Dr. KHAN Haleem
Hospital: HUG
Department: Radiologie
State: Terminée
Date: 21.03.2003
: 4241
Chapter: Liver & Spleen

Clinical Presentation: Patient presented with right upper quadrantpain, chill, fever
and vomiting.
Comment: 80-95% of cases are secondary to cystic ductobstruction by gallstone
(s). Most commonly patient are middle agedwomen (75%, 50-60 year old). According to
literature thesensitivity of US is 85-90% and specificity 65-100%. Major signs: *GallBladder
wall thickening (>3mm) * "halo sign" = GB walllucency (in 70%) * GallBladder hydrops = AP
diameter >5cm *sonographic Murphy sign (85%) * pericholecystic fluid
Description: Sonography revealed a thickened gallbladder wall, andmany small
echogenic foci arising from the dependant parts of thegallbladder. No intrahepatic biliary or
choledochal dilatation waspresent. Color Doppler US showed hypervascularity of
thegallbladder wall as well as of the adjacent hepatic parenchyma. Atsurgery, the
gallbladder was extremely inflamed, and edematous withno evidence of gangrene or
perforation. Multiple small stones werepresent.

Order: 1001
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

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