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The gallbladder: what's new in 2022?
Rachel Runde1, Edward D Auyang2, Raye Ng2
1Department of Radiology, University of New Mexico, MSC10 5530, 1 University of New Mexico, Albuquerque, NM, 87131, USA.
Abdominal Radiology (New York)
|March 29, 2022
Summary
This review details imaging techniques for acute cholecystitis, a common gallbladder disease. It highlights CT
Area of Science:
- Radiology
- Gastroenterology
- Surgical Pathology
Background:
- Acute cholecystitis is the most frequent benign gallbladder disease.
- Accurate diagnosis and management are crucial for patient outcomes.
- Differential diagnoses include gallbladder polyps and adenomyomatosis.
Approach:
- Review of current literature on imaging modalities: ultrasound (US), computed tomography (CT), magnetic resonance (MR), and hepatobiliary iminodiacetic acid (HIDA) scans.
- Presentation of the American College of Radiology appropriateness criteria and Tokyo Guidelines.
- Detailed analysis of imaging findings for suspected acute cholecystitis.
Key Points:
- Comparison of US, CT, MR, and HIDA for diagnosing acute cholecystitis.
- Discussion of clinical management strategies and potential postoperative complications.
- Emphasis on differentiating acute cholecystitis from gallbladder polyps and adenomyomatosis based on imaging.
Conclusions:
- CT may offer superior diagnostic accuracy compared to US for acute cholecystitis, based on recent literature.
- A suggested imaging approach for right upper quadrant pain is provided.
- Comprehensive overview of imaging, treatment, and complications of acute cholecystitis.
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