Computed Tomography Signs in Acute Cholecystitis
Journal Title: The Journal of Middle East and North Africa Sciences - Year 2017, Vol 3, Issue 8
Abstract
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.
Authors and Affiliations
Saad Siddiqui, Raza Sayani, Dawar B. Khan, Muhammad Anwar Saeed, Ammar Afzal
Keywords
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