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Acute Acalculous Cholecystitis
Jade Wong-You-Cheong, MBChB, MRCP, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Acute necroinflammatory disease of gallbladder (GB) not related to gallstone
                • Usually secondary to stasis of bile and ischemia

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Nonvascular Interventions

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Atar E et al: Percutaneous cholecystostomy in critically ill patients with acute cholecystitis: complications and late outcome. Clin Radiol. 69(6):e247-52, 2014
                                              2. Charalel RA et al: Complicated cholecystitis: the complementary roles of sonography and computed tomography. Ultrasound Q. 27(3):161-70, 2011
                                              3. Gore RM et al: Gallbladder imaging. Gastroenterol Clin North Am. 39(2):265-87, ix, 2010
                                              4. Huffman JL et al: Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol. 8(1):15-22, 2010
                                              5. Ziessman HA: Nuclear medicine hepatobiliary imaging. Clin Gastroenterol Hepatol. 8(2):111-6, 2010
                                              6. Smith EA et al: Cross-sectional imaging of acute and chronic gallbladder inflammatory disease. AJR Am J Roentgenol. 192(1):188-96, 2009
                                              7. van Breda Vriesman AC et al: Diffuse gallbladder wall thickening: differential diagnosis. AJR Am J Roentgenol. 188(2):495-501, 2007
                                              8. Hanbidge AE et al: From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant. Radiographics. 24(4):1117-35, 2004
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Acute necroinflammatory disease of gallbladder (GB) not related to gallstone
                                                            • Usually secondary to stasis of bile and ischemia

                                                        IMAGING

                                                        • General Features

                                                          • Ultrasonographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Nonvascular Interventions

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Atar E et al: Percutaneous cholecystostomy in critically ill patients with acute cholecystitis: complications and late outcome. Clin Radiol. 69(6):e247-52, 2014
                                                                                          2. Charalel RA et al: Complicated cholecystitis: the complementary roles of sonography and computed tomography. Ultrasound Q. 27(3):161-70, 2011
                                                                                          3. Gore RM et al: Gallbladder imaging. Gastroenterol Clin North Am. 39(2):265-87, ix, 2010
                                                                                          4. Huffman JL et al: Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol. 8(1):15-22, 2010
                                                                                          5. Ziessman HA: Nuclear medicine hepatobiliary imaging. Clin Gastroenterol Hepatol. 8(2):111-6, 2010
                                                                                          6. Smith EA et al: Cross-sectional imaging of acute and chronic gallbladder inflammatory disease. AJR Am J Roentgenol. 192(1):188-96, 2009
                                                                                          7. van Breda Vriesman AC et al: Diffuse gallbladder wall thickening: differential diagnosis. AJR Am J Roentgenol. 188(2):495-501, 2007
                                                                                          8. Hanbidge AE et al: From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant. Radiographics. 24(4):1117-35, 2004