CT evaluation of acute cholecystitis

Findings and usefulness in diagnosis

Jeff Fidler, Erik K. Paulson, Lester Layfield

Research output: Contribution to journalArticle

102 Citations (Scopus)

Abstract

OBJECTIVE. The purpose of our study was to describe the CT findings of acute cholecystitis and apply previously proposed CT criteria for its diagnosis. MATERIALS AND METHODS. We retrospectively reviewed CT scans of 29 patients with proven acute cholecystitis. Scans were reviewed for gallstones, gallbladder distension, bile density, wall thickening, pericholecystic fluid, subserosal edema, pericholecystic stranding, and sloughed membranes. Previously published criteria were applied to determine the percentage of patients that met positive criteria for acute cholecystitis. RESULTS. The most common CT findings, in decreasing order of frequency, were wall thickening (n = 17), pericholecystic stranding (n = 15), distension (n = 12), pericholecystic fluid (n = 9), subserosal edema (n = 9), high-attenuation bile (n = 7), and sloughed membranes (n = 1). Of the 29 cases of acute cholecystitis, 15 met previously published CT criteria. CONCLUSION. CT can be useful in diagnosing acute cholecystitis. Common CT findings of acute cholecystitis include wall thickening, pericholecystic stranding, distention, high-attenuation bile, pericholecystic fluid, and subserosal edema. When these findings are present, the diagnosis of acute cholecystitis can be suggested. However, previously published CT criteria failed to identify a significant number of patients with acute cholecystitis.

Original languageEnglish (US)
Pages (from-to)1085-1088
Number of pages4
JournalAmerican Journal of Roentgenology
Volume166
Issue number5
StatePublished - May 1996
Externally publishedYes

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Acute Cholecystitis
Bile
Edema
Membranes
Gallstones
Gallbladder

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Fidler, J., Paulson, E. K., & Layfield, L. (1996). CT evaluation of acute cholecystitis: Findings and usefulness in diagnosis. American Journal of Roentgenology, 166(5), 1085-1088.

CT evaluation of acute cholecystitis : Findings and usefulness in diagnosis. / Fidler, Jeff; Paulson, Erik K.; Layfield, Lester.

In: American Journal of Roentgenology, Vol. 166, No. 5, 05.1996, p. 1085-1088.

Research output: Contribution to journalArticle

Fidler, J, Paulson, EK & Layfield, L 1996, 'CT evaluation of acute cholecystitis: Findings and usefulness in diagnosis', American Journal of Roentgenology, vol. 166, no. 5, pp. 1085-1088.
Fidler, Jeff ; Paulson, Erik K. ; Layfield, Lester. / CT evaluation of acute cholecystitis : Findings and usefulness in diagnosis. In: American Journal of Roentgenology. 1996 ; Vol. 166, No. 5. pp. 1085-1088.
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