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Hemorrhagic cholecystitis. Sonographic appearance and clinical presentation
Summary
Hemorrhagic cholecystitis often presents with unusual ultrasound findings like wall irregularity or intraluminal membranes. These signs mimic classic acute cholecystitis, but without overt bleeding.
Area of Science:
- Radiology
- Gastroenterology
- Abdominal Imaging
Background:
- Hemorrhagic cholecystitis is a rare condition.
- Its sonographic features can be non-specific.
- Distinguishing it from acute cholecystitis is clinically important.
Purpose of the Study:
- To identify and describe unusual sonographic features of hemorrhagic cholecystitis.
- To compare the clinical presentation of hemorrhagic cholecystitis with acute cholecystitis.
Main Methods:
- Retrospective study.
- Review of 19 patients with hemorrhagic cholecystitis.
- Analysis of sonographic findings and clinical data.
Main Results:
- 14 out of 19 patients (74%) showed unusual sonographic features.
- These features included focal gallbladder wall irregularity, intraluminal membranes, and coarse intraluminal echoes.
- Clinical presentation (pain, leukocytosis, fever) was similar to acute cholecystitis.
- No overt gastrointestinal bleeding was observed.
Conclusions:
- Unusual sonographic findings are common in hemorrhagic cholecystitis.
- These findings can aid in the diagnosis.
- Clinical presentation alone may not differentiate it from acute cholecystitis.