Correlation of MDCT imaging findings with intraoperative findings following acute cholecystitis
Journal Title: Medpulse International Journal of Radiology - Year 2019, Vol 9, Issue 2
Abstract
Background: The purpose of our study was to describe the CT findings of acute cholecystitis and correlate with intra-operative findings. Material and methodology: retrospective study was undertaken for patients who were referred for CT abdomen with features of cholecystitis, over a period of six months. CT abdomen was performed using a 16 slice GE bright speed MDCT and characteristic findings of gallbladder, and associated complications were observed. Results: highest sensitivity and specificity were pericholecystic effusion, gallbladder wall thickness of 7 mm or more, and local or widespread absence of gallbladder wall enhancement. Absence of gallbladder wall enhancement on the preoperative CT image was accurately associated with the presence of intraoperatively identified and pathologically confirmed gangrenous acute cholecystitis Conclusion: While diagnosing acute cholecystitis CT can be useful. CT findings for acute cholecystitis commonly include wall thickening, pericholecystic stranding, high-attenuation bile, pericholecystic fluid, distention and subserosal edema. With the presence of these findings, diagnosis of acute cholecystitis can be suggested.
Authors and Affiliations
Rakesh Dharmarajan, Adarsh K M
Keywords
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