Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Chronic cholecystitis CT
Introduction
Overview
Overview
CT scan findings associated with chronic cholecystitis include gallbladder wall thickening, gallbladder distension or contraction and subserosal edema.
CT scan
CT scan
- CT scan is more specific than ultrasound. CT scan findings include:[1][2][3][4]
- Gallbladder wall thickening
- Gallbladder distension or contraction
- Subserosal edema
- High attenuation gallbladder bile
- CT cannot identify noncalcified gallbladder calculi and cannot assess for Murphy’s sign.[5][6]
Acalculous Cholecystitis
The CT based diagnostic criteria from multiple studies for acalculous cholecystits is as follows:[7]
| Criteria | Diagnosis |
|---|---|
| Major | 3 to 4 mm wall thickness Pericholecystic fluid Subserosal edema Intramural gas Sloughed mucosa |
| Minor | Hyperdense bile (sludge) Subjective distension (hydrops) |
Diagnosis: The diagnosis requires 2 major or 1 major and 2 minor to be positive.
References
References
- ↑ Yun, EJ.; Cho, SG.; Park, S.; Park, SW.; Kim, WH.; Kim, HJ.; Suh, CH. “Gallbladder carcinoma and chronic cholecystitis: differentiation with two-phase spiral CT”. Abdom Imaging. 29 (1): 102–8. doi:10.1007/s00261-003-0080-4. PMID 15160762.
- ↑ Fidler J, Paulson EK, Layfield L (1996). “CT evaluation of acute cholecystitis: findings and usefulness in diagnosis”. AJR. American Journal of Roentgenology. 166 (5): 1085–8. PMID 8615248. Retrieved 2012-08-20. Unknown parameter
|month=ignored (help) - ↑ “Cross-Sectional Imaging of Acute and Chronic Gallbladder Inflammatory Disease : American Journal of Roentgenology : Vol. 192, No. 1 (AJR)”.
- ↑ Kaura SH, Haghighi M, Matza BW, Hajdu CH, Rosenkrantz AB (2013). “Comparison of CT and MRI findings in the differentiation of acute from chronic cholecystitis”. Clin Imaging. 37 (4): 687–91. doi:10.1016/j.clinimag.2013.02.009. PMID 23541278.
- ↑ Shea, JA, Berlin, JA, Escarce, JJ, et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med 1994; 154:2573.
- ↑ Fink-Bennett, D, Freitas, JE, Ripley, SD, Bree, RL. The sensitivity of hepatobiliary imaging and real-time ultrasonography in the detection of acute cholecystitis. Arch Surg 1985; 120:904.
- ↑ Huffman, JL.; Schenker, S. (2010). “Acute acalculous cholecystitis: a review”. Clin Gastroenterol Hepatol. 8 (1): 15–22. doi:10.1016/j.cgh.2009.08.034. PMID 19747982. Unknown parameter
|month=ignored (help)
Editor-In-Chief:
C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2], Furqan M M. M.B.B.S[3]