Acute calcular cholecystitis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right upper quadrant pain, fever, and tenderness. Altered renal function.

Patient Data

Age: 90 years
Gender: Male

Distended gallbladder with thickened edematous wall, and impacted stone (2 cm) in the gallbladder neck. Pericholecystic inflammatory fat stranding is noted. No dilatation of the intra- or extrahepatic biliary radicles.

Hiatal hernia and duodenal diverticulum are noted.

 

Case Discussion

CT features of acute calcular cholecystitis.

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