Acute acalculous cholecystitis

Case contributed by Bruno Di Muzio , 27 Sep 2016
Diagnosis probable
Changed by Ammar Haouimi, 7 Jun 2020

Updates to Case Attributes

Age changed from 58-year-old to 60 years.

Updates to Study Attributes

Findings was changed:

ModerateA moderate amount of pericholecystic free fluid surrounding the gallbladder with mural enhancement and surrounding fat stranding. No free gas to suggest perforation. No cholelithiasis identified. The gallbladder is not distended. No intrahepatic or extrahepatic bile duct dilatation. No portal vein thrombosis identified. The liver, pancreas, adrenals, kidneys, bladder, small and large bowel are unremarkable. 

Updates to Study Attributes

Findings was changed:

The liver has normal sonographic appearances, with no evidence of focal lesions or intrahepatic biliary dilatation. The gallbladder demonstrates ill-defined wall thickening and surrounding fat stranding; small calcification present within the gallbladder wall. No evidence of gallstones. The common biliary duct measures up to for millimetres in calibre. PancreasThe pancreas was obscured by overlying bowel gas.

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