Acute cholecystitis other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]

Overview

Cholescintigraphy is the gold standard for the diagnosis of acute cholecystitis. Cholescintigraphy is an alternative method of imaging and uses technetium-labeled hepatic 2,6-dimethyl-iminodiacetic acid (HIDA) in difficult cases or uncertain diagnosis. Findings on a cholescintigraphy diagnostic of acute cholecystitis include lack of visualization of the gallbladder.

Other Imaging Findings

Advantages of cholescintigraphy

Limitations of cholescintigraphy

  • Limitations of cholescintigraphy include:[1]
    • Expensive
    • Time consuming
    • Radiation exposure
    • Requires skilled staff
Normal hepato-billiary scan; Cholescintigraphy (HIDA scan). By Myohan at en.wikipedia, CC BY 3.0, https://commons.wikimedia.org/w/index.php?curid=17269984 Source:[5]


References

  1. 1.0 1.1 1.2 Knab LM, Boller AM, Mahvi DM (2014). "Cholecystitis". Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.
  2. Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF (2017). "Acute calculous cholecystitis: Review of current best practices". World J Gastrointest Surg. 9 (5): 118–126. doi:10.4240/wjgs.v9.i5.118. PMC 5442405. PMID 28603584.
  3. Kiewiet JJ, Leeuwenburgh MM, Bipat S, Bossuyt PM, Stoker J, Boermeester MA (2012). "A systematic review and meta-analysis of diagnostic performance of imaging in acute cholecystitis". Radiology. 264 (3): 708–20. doi:10.1148/radiol.12111561. PMID 22798223.
  4. "Imaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR)".
  5. "Cholescintigraphy - Wikipedia".

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