Acute cholecystitis (cholecystintingraphy)

Case contributed by Amr El-Talla , 27 Apr 2023
Diagnosis probable
Changed by Henry Knipe, 6 Jun 2023
Disclosures - updated 16 Jan 2023:
  • Integral Diagnostics, Shareholder (ongoing)
  • Micro-X Ltd, Shareholder (ongoing)

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to 2023-06-06T05:41:16.690Z.
Body was changed:

This patient presented with worsening RUQ abdominal pain and a history of cholelithiasis raising the suspicion of acute cholecystitis. Other diagnoses in consideration were acute pancreatitis and peptic ulcer disease. Given the high suspicion forof acute cholecystitis, a RUQ ultrasound was performed and yielded inconclusive findings.

Ultrasound is typically the preferred diagnostic imaging modality for a patient with RUQ pain as it is more sensitive and readily available than CT and cholescintigraphy. Due to the inconclusive US findings, this patient underwent cholescintigraphy which displayed adequate uptake of the radiotracer in the liver without visualisation of the gallbladder. These findings were suggestive of cystic duct obstruction and resulting acute cholecystitis.

  • -<p>This patient presented with worsening RUQ abdominal pain and a history of cholelithiasis raising the suspicion of acute cholecystitis. Other diagnoses in consideration were acute pancreatitis and peptic ulcer disease. Given the high suspicion for acute cholecystitis, a RUQ ultrasound was performed and yielded inconclusive findings. </p><p>Ultrasound is typically the preferred diagnostic imaging modality for a patient with RUQ pain as it is more sensitive and readily available than CT and cholescintigraphy. Due to the inconclusive US findings, this patient underwent cholescintigraphy which displayed adequate uptake of the radiotracer in the liver without visualisation of the gallbladder. These findings were suggestive of cystic duct obstruction and resulting acute cholecystitis.</p>
  • +<p>This patient presented with worsening RUQ abdominal pain and a history of cholelithiasis raising the suspicion of acute cholecystitis. Other diagnoses in consideration were acute pancreatitis and peptic ulcer disease. Given the high suspicion of acute cholecystitis, a RUQ ultrasound was performed and yielded inconclusive findings.</p><p>Ultrasound is typically the preferred diagnostic imaging modality for a patient with RUQ pain as it is more sensitive and readily available than CT and cholescintigraphy. Due to the inconclusive US findings, this patient underwent cholescintigraphy which displayed adequate uptake of the radiotracer in the liver without visualisation of the gallbladder. These findings were suggestive of cystic duct obstruction and resulting <a href="/articles/acute-cholecystitis" title="Acute cholecystitis">acute cholecystitis</a>.</p>

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