GI and Abdomen Case 8:  Acute Cholecystitis

Acute Calculus Cholecystitis: Acute inflammation of gallbladder. 96% of cases are from obstruction of cystic duct.

Ultrasound Features:

• Distension of gallbladder
• Thickening of gallbladder wall; > 3 mm
• Pericholecystic fluid
• Tenderness over gallbladder
• Gallstones

Presence of stones, without other signs, does not indicate cholecystitis.

Radionuclide Scan: (HIDA) Non visualization of gallbladder secondary to cystic duct obstruction is the diagnostic findings.

Emphysematous Cholecystitis: Air in the wall, and or lumen of gallbladder, secondary to associated infection with E. Coli, Streptococci, Cl Welchii. Patients are usually diabetic.

Pre:

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