caa a22 4500 477079369 CHVBK 20180405111446.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF01508162 doi (NATIONALLICENCE)springer-10.1007/BF01508162 Computed tomography in acute cholecystitis [Elektronische Daten] [Daniel Alterman, Jay Hochsztein] It has been our experience that acute cholecystitis can frequently be diagnosed on the basis of computed tomography (CT) alone, without the need for further confirmatory studies. This capability has not been emphasized in the radiologic or surgical literature. Retrospective review of CT scans performed in patients with the initial diagnosis of acute abdomen or sepsis due to abdominal source yielded 29 patients in whom a retrospective CT diagnosis of acute cholecystitis was made when all three of the following findings were present: gallbladder wall thickening (>3 mm), gallbladder distention, and pericholecystic abnormality (either fluid or abnormal fat). Pathologic or surgical follow-up was available in 22 of 29 patients. In 20 of 22 (91%) patients who underwent surgery, there was a pathologic or surgical diagnosis of acute cholecystitis. There were two falsepositive diagnoses: one patient with chronic cholecystitis and one patient with adenocarcinoma of the neck of the gallbladder. A confident diagnosis of acute cholecystitis can be made on CT scan in the appropriate clinical setting when all three of these criteria are met: gallbladder distention, gallbladder wall thickening, and pericholecystic abnormality. If one of these criteria is not met or is equivocal, biliary scintigraphy or ultrasonography may be needed to confirm the diagnosis. American Society of Emergency Radiology, 1996 Gallbladder, CT nationallicence Acute cholecystitis nationallicence CT nationallicence Alterman Daniel Department of Radiology, Jacobi Medical Center, Albert Einstein College of Medicine, 4N15, Pelham Parkway South and Eastchester Road, 10461, Bronx, New York aut Hochsztein Jay Department of Radiology, Jacobi Medical Center, Albert Einstein College of Medicine, 4N15, Pelham Parkway South and Eastchester Road, 10461, Bronx, New York aut Emergency Radiology Springer-Verlag 3/1(1996-01-01), 25-29 1070-3004 3:1<25 1996 3 10140 https://doi.org/10.1007/BF01508162 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01508162 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Alterman Daniel Department of Radiology, Jacobi Medical Center, Albert Einstein College of Medicine, 4N15, Pelham Parkway South and Eastchester Road, 10461, Bronx, New York aut NATIONALLICENCE 700 1- Hochsztein Jay Department of Radiology, Jacobi Medical Center, Albert Einstein College of Medicine, 4N15, Pelham Parkway South and Eastchester Road, 10461, Bronx, New York aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/1(1996-01-01), 25-29 1070-3004 3:1<25 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer