Upcoming Events
Log In
Pricing
Free Trial

Acute Cholecystitis on CT

HIDE
PrevNext

0:00

Acute cholecystitis on CT scan.

0:03

This is a diagnostic criteria as proposed by Maris et al,

0:06

um, one of our renowned emergency radiologists.

0:10

Uh, it includes minor and major criteria.

0:12

The major criteria include gallstones,

0:14

which you can't see on this case, but many

0:16

you can see those calcified gallstones.

0:18

Um, a thickened wall, as in this case we can

0:21

see the gallbladder wall thickening that.

0:23

That pericholecystic fluid, all of that fat stranding

0:26

that is seen are adjacent to the gallbladder,

0:29

and that subserosal edema as well.

0:32

Minor criteria would just be the gallbladder

0:34

distension and sludge, should you see a high

0:36

density material within the gallbladder itself.

0:38

This is a slam dunk for acute cholecystitis.

0:41

No prizes will be awarded here, but sometimes

0:44

the criteria are a little bit less well-defined.

0:46

Diagnosis of acute cholecystitis can

0:48

be supported by either one of the major

0:50

criteria here or two of the minor criteria.

Report

Faculty

Laura L Avery, MD

Assistant Professor of Emergency Radiology Harvard Medical School

Massachusetts General Hosptial

Tags

Infectious

Gastrointestinal (GI)

Gallbladder

Emergency

CT

Body