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Computed Tomography Signs in Acute Cholecystitis

Journal: The Journal of Middle East and North Africa Sciences (Vol.3, No. 8)

Publication Date:

Authors : ; ; ; ; ;

Page : 33-36

Keywords : Multidetector Computed Tomography; Abdominal Pain; Acute Cholecystitis; Gallstone; Biliary Calculi.;

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Background: Acute cholecystitis remains to be a frequent presentation in emergency rooms worldwide. Role of ultrasound in evaluation of acute cholecystitis is well established however, Computed Tomography (CT) is still under evaluated as a diagnostic modality for detection of acute cholecystitis. In this work we describe frequencies of various CT signs in pathologically proven cases of cholecystitis. Methods: Retrospective review of CT images of 120 patients with cholecystitis for identifying signs of cholecystitis and their relative frequencies. Results: Pericholecystic inflammatory changes with or without fluid collection was the most common CT sign followed in order by; gall bladder distention, wall thickening, mucosal enhancement, visualization of calculi, tensile fundus sign and reactive hepatic hyperemia. Conclusion: An understanding of CT signs in diagnosis of cholecystitis will help improve the diagnostic confidence as well as ensure prompt diagnosis of cholecystitis.

Last modified: 2017-07-30 19:10:17