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Related Experiment Videos

False negative sonographic finding in emphysematous cholecystitis.

N D Hawass1

  • 1Department of Radiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Acta Radiologica (Stockholm, Sweden : 1987)
|January 1, 1988
PubMed
Summary

Emphysematous cholecystitis, a gallbladder inflammation, may present with subtle ultrasound findings. Conventional radiography is crucial for detecting gallbladder wall gas, aiding timely diagnosis and patient management.

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Area of Science:

  • Medical Imaging
  • Gastroenterology
  • Abdominal Surgery

Background:

  • Acute abdominal pain and fever are common presenting symptoms requiring prompt diagnosis.
  • Acute cholecystitis is a frequent cause of such presentations, necessitating accurate imaging.
  • Emphysematous cholecystitis is a rare but severe variant requiring specific diagnostic considerations.

Observation:

  • Two patients with fever and acute abdominal pain were evaluated.
  • Ultrasound revealed a double-contour gallbladder wall, suggestive of acute cholecystitis.
  • Radiography demonstrated gas within the gallbladder wall in both patients.

Findings:

  • The presence of gas in the gallbladder wall confirmed emphysematous cholecystitis.
  • Ultrasound may miss gallbladder wall gas that is detectable by radiography.

Related Experiment Videos

  • Conventional radiography offers a valuable diagnostic adjunct when ultrasound findings are equivocal.

    • Implications:

    • Early detection of emphysematous cholecystitis is critical for effective patient management.
    • Radiography should be considered in suspected cases where ultrasound is inconclusive.
    • This highlights the complementary roles of different imaging modalities in diagnosing gallbladder pathology.