Computed Tomography Is More Sensitive than Ultrasound for the Diagnosis of Acute Cholecystitis

2015 ◽  
Vol 16 (5) ◽  
pp. 509-512 ◽  
Author(s):  
Peter J. Fagenholz ◽  
Eva Fuentes ◽  
Haytham Kaafarani ◽  
Catrina Cropano ◽  
David King ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis

scholarly journals Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed M. Harraz ◽  
Ahmed H. Abouissa
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Acute Diverticulitis ◽  
Wall Thickening ◽  
Free Fluid ◽  
Iodinated Contrast ◽  
Contrast Enhanced

Abstract Background Although gall bladder perforation (GBP) is not common, it is considered a life-threating condition, and the possibility of occurrence in cases of acute cholecystitis must be considered. The aim of this study was to assess the role of multi-slice computed tomography (MSCT) in the assessment of GBP. Results It is a retrospective study including 19 patients that had GBP out of 147, there were 11 females (57.8%) and 8 males (42.1%), aged 42 to 79 year (mean age 60) presented with acute abdomen or acute cholecystitis. All patients were examined with abdominal ultrasonography and contrast-enhanced abdominal MSCT after written informed consent was obtained from the patients. This study was between January and December 2018. Patients with contraindications to contrast-enhanced computed tomography (CT) (pregnancy, acute kidney failure, or allergy to iodinated contrast agents) who underwent US only were excluded. Patients with other diagnoses, such as acute diverticulitis of the right-sided colon or acute appendicitis, were excluded. The radiological findings were evaluated such as GB distention; stones; wall thickening, enhancement, and defect; pericholecystic free fluid or collection; enhancement of liver parenchyma; and air in the wall or lumen. All CT findings are compared with the surgical results. Our results revealed that the most important and diagnostic MSCT finding in GBP is a mural defect. Nineteen patients were proved surgically to have GBP. Conclusion GBP is a rare but very serious condition and should be diagnosed and treated as soon as possible to decrease morbidity and mortality. The most accurate diagnostic tool is the CT, MSCT findings most specific and sensitive for the detection of GBP and its complications.

scholarly journals The Influence of Pre-Procedural Imaging and Cystic Duct Cholangiography on Endoscopic Transpapillary Gallbladder Drainage in Acute Cholecystitis

Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1286
Author(s):  
Junya Sato ◽  
Kazunari Nakahara ◽  
Yosuke Michikawa ◽  
Ryo Morita ◽  
Keigo Suetani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Cystic Duct ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Procedure Time ◽  
Technical Success ◽  
Factors Affecting ◽  
Gallbladder Drainage ◽  
Procedural Evaluation ◽  
The Relationship

Endoscopic transpapillary gallbladder drainage (ETGBD) for acute cholecystitis is challenging. We evaluated the influence of pre-procedural imaging and cystic duct cholangiography on ETGBD. Patients who underwent ETGBD for acute cholecystitis were retrospectively examined. The rate of gallbladder contrast on cholangiography, the accuracy of cystic duct direction and location by computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP), and the relationship between pre-procedural imaging and the technical success of ETGBD were investigated. A total of 145 patients were enrolled in this study. Gallbladder contrast on cholangiography was observed in 29 patients. The accuracy of cystic duct direction and location (proximal or distal, right or left, and cranial or caudal) by CT were, respectively, 79%, 60%, and 58% by CT and 68%, 55%, and 58% by MRCP. Patients showing gallbladder contrast on cholangiography underwent ETGBD with a significantly shorter procedure time and a lower rate of cystic duct injury. No other factors affecting procedure time, technical success, and cystic duct injury were identified. Pre-procedural evaluation of cystic duct direction and location by CT or MRCP was difficult in patients with acute cholecystitis. Patients who showed gallbladder contrast on cholangiography showed a shorter procedure time and a lower rate of cystic duct injury.

scholarly journals Computed tomography (CT) evaluation of acute cholecystitis

2020 ◽  
Vol 13 (2) ◽  
pp. 83-85
Author(s):  
Ajay A Vare ◽  
◽  
Dayanand B Kawade ◽  
Samruddhi C Sonawane ◽  
◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Ct Evaluation

Acute cholecystitis in the elderly: use of computed tomography and correlation with ultrasonography

2011 ◽  
Vol 202 (5) ◽  
pp. 524-527 ◽  
Author(s):  
Edward A. McGillicuddy ◽  
Kevin M. Schuster ◽  
Elliott Brown ◽  
Mark W. Maxfield ◽  
Kimberly A. Davis ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
The Elderly

Cholecystocolonic fistula mimicking acute cholecystitis diagnosed unequivocally by computed tomography

2013 ◽  
Vol 20 (6) ◽  
pp. 569-572 ◽  
Author(s):  
Jeffrey Forris Beecham Chick ◽  
Nikunj Rashmikant Chauhan ◽  
Vera Ashley Paulson ◽  
Alexander J. Adduci
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Cholecystocolonic Fistula

scholarly journals Computed tomography imaging of complications of acute cholecystitis

2018 ◽  
Vol 28 (2) ◽  
pp. 195
Author(s):  
Giancarlo Schiappacasse ◽  
Pablo Soffia ◽  
Claudio Silva ◽  
Fabian Villacrés
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Computed Tomography Imaging ◽  
Tomography Imaging

scholarly journals Acute Cholecystitis: Comparison of Clinical Findings from Ultrasound and Computed Tomography

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Oda Teruyoshi ◽  
Tsurusaki Masakatsu ◽  
Numoto Isao ◽  
Yagyu Yukinobu ◽  
Ishii Kazunari
Keyword(s):  
Computed Tomography ◽  
Acute Cholecystitis ◽  
Clinical Findings

Intravenous Computed Tomographic Cholangiography in Acute Cholecystitis

1984 ◽  
Vol 25 (4) ◽  
pp. 289-298 ◽  
Author(s):  
U. Nyman ◽  
U. Rimér ◽  
P. Aspelin ◽  
B. Zederfelt ◽  
S. Sigurjónsson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Computed Tomography ◽  
Contrast Medium ◽  
Acute Cholecystitis ◽  
Clinical Signs ◽  
Conventional Radiography ◽  
Fatty Tissue ◽  
Water Density ◽  
Computed Tomographic ◽  
Computed Tomographic Cholangiography

Forty-nine patients with clinical signs of acute cholecystitis underwent conventional and computed tomographic cholangiography. Among 39 patients with signs of contrast medium in the biliary system at both examinations there was a diagnostic discrepancy in only one patient. Conventional radiography demonstrated cholecystopathy in this patient while contrast medium in the gallbladder and an acute pancreatitis were found at computed tomography. Ten patients with an indeterminate conventional cholangiography had a conclusive computed tomographic examination. Twenty of 30 patients with an abnormal computed tomographic cholangiography underwent cholecystectomy and all had diseased gallbladders. All 17 patients with histopathologically confirmed acute cholecystitis had signs of subserosal edema and/or changes in the omental fatty tissue adjacent to the gallbladder at computed tomography. A layer of tissue of water-density adjacent to the gallbladder and/or changes in omental fatty tissue were also seen in one patient with congestive heart failure and in one with a penetrating duodenal ulcer. None of the 19 patients with a normal computed tomographic cholangiography had a proven acute cholecystitis.

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