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  1. 10 sie 2024 · Ultrasound. The most sensitive US finding in acute cholecystitis is the presence of cholelithiasis in combination with the sonographic Murphy sign. Both gallbladder wall thickening (>3 mm) and pericholecystic fluid are secondary findings. Other less specific findings include gallbladder distension and sludge.

  2. 23 lis 2012 · Emphysematous cholecystitis is typically diagnosed on CT by the presence of intraluminal or intramural gas, which may be mistaken for calculi or porcelain gallbladder on ultrasound (hyperechoic reverberation artifact) or MRI (signal void) [7, 18] (Figs. 6A, 6B, 6C, 6D, 7A, and 7B).

  3. Ultrasound (US) is the most employed imaging technique for the initial diagnosis of AC. Thickening of the gallbladder wall (>3 mm) with a layered appearance, gallstones or retained debris, pericholecystic fluid, and gallbladder enlargement are the typical sonographic signs of AC.

  4. 30 lis 2023 · Diagnostic imaging modalities for AC include ultrasound (US), computed tomography (CT), or hepatobiliary iminodiacetic acid (HIDA) scan [3]. A 2012 meta-analysis reported that the HIDA scan had the highest diagnostic accuracy for AC [4].

  5. 15 paź 2017 · Typical ultrasound images of acute cholecystitis. (a) Pericholecystic fluid. Pericholecystic fluid is demonstrated to the left side of the gallbladder. Gallstones and debris are also seen in the gallbladder. (b) An intraluminal flap seen in a gangrenous cholecystitis. A linear echogenic line representing the intraluminal flap is demonstrated

  6. 9 lut 2024 · Ultrasound (US) is the preferred initial modality in the investigation of right upper quadrant pain. It is more sensitive than HIDA scintigraphy 4 and CT in the diagnosis of acute cholecystitis, and more readily available.

  7. 9 lut 2019 · Acute cholecystitis (AC) is the primary diagnostic consideration in most adults presenting with acute onset RUQ abdominal pain; however, a variety of other conditions can mimic AC. Abdominal ultrasound (US) receives the highest score for imaging appropriateness for these patients.

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