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Normal gallbladder scintigraphy in acute cholecystitis.

H J Ohrt, I P Posalaky, R B Shafer

    Clinical Nuclear Medicine
    |March 1, 1983
    PubMed
    Summary
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    Normal gallbladder scans can occur in acute cholecystitis, even with inflammation. This finding suggests that a normal gallbladder scan does not rule out acute cholecystitis.

    Area of Science:

    • Gastroenterology
    • Diagnostic Imaging

    Background:

    • Acute cholecystitis is a common surgical emergency.
    • Gallbladder scintigraphy (HIDA scan) is a key diagnostic tool.
    • Normal gallbladder visualization occurs in 2-5% of acute cholecystitis cases.

    Observation:

    • A case of acute cholecystitis with normal gallbladder visualization is presented.
    • The patient exhibited both clinical and pathological signs of acute cholecystitis.
    • This presentation challenges typical diagnostic expectations.

    Findings:

    • Gallbladder visualization can occur despite cystic duct obstruction and inflammation.
    • Acalculous cholecystitis may present with normal gallbladder visualization.
    • Normal gallbladder scintigraphy does not exclude acute cholecystitis.

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    Implications:

    • Clinicians should not exclude acute cholecystitis based solely on a normal gallbladder scan.
    • Further diagnostic workup may be necessary in suspicious cases.
    • This case highlights the importance of integrating imaging findings with clinical presentation.