Acute acalculous cholecystitis
Updates to Case Attributes
Updates to Study Attributes
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
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.