Acute Cholecystitis

Parth C. Patel

Ellie R. Lee

CLINICAL HISTORY

40-year-old female who presents with acute right upper quadrant abdominal pain, nausea, and vomiting.

FIGURE 99A

FIGURE 99B

FINDINGS

Figure 99A: Longitudinal ultrasound image of the gallbladder demonstrates multiple small shadowing gallstones (arrows) and thickened gallbladder wall measuring up to 1 cm (arrowhead). The sonographic Murphy’s sign was positive. Figure 99B: Longitudinal power Doppler ultrasound image of the gallbladder shows thickened, hyperemic gallbladder wall (arrows). Findings compatible with acute cholecystitis.

DIFFERENTIAL DIAGNOSIS

Chronic cholecystitis, acute hepatitis, hypoproteinemia, adenomyomatosis, pancreatitis.

DISCUSSION

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