Asymptomatic gangrenous cholecystitis diagnosed using contrast-enhanced ultrasonography in a patient with pancreatic cancer

Katsumata, Ryo; Manabe, Noriaki; Urano, Takashi; Tomohiro, Tanikawa; Ishii, Katsunori; Ayaki, Maki; Fujita, Minoru; Suehiro, Mitsuhiko; Fujiwara, Haruhiko; Monobe, Yasumasa; Kamada, Takenobu; Yamatsuji, Tomoki; Naomoto, Yoshio; Haruma, Ken; Kawamoto, Hirofumi

doi:10.1016/j.radcr.2022.04.002

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…Therefore, unlike AC, it is critical to correctly detect and surgically treat GC before it develops complications or perforations to reduce its high morbidity and mortality rates [ 10 ]. Typically, the first imaging modality used to assess patients with clinically suspected AC is ultrasound, which showed the presence of striated thickening of the GB wall and pericholecystic fluid collections [ 11 ]. However, if the sonography results are unclear, a CT scan might help evaluate these individuals.…”

Section: Discussionmentioning

confidence: 99%

A Case of Asymptomatic Perforated Gangrenous Cholecystitis in a Diabetic Patient: A Critical Condition

Lahham,

Ghweir,

Alsalah

et al. 2023

Cureus

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Gangrenous cholecystitis (GC) is a severe form of acute cholecystitis (AC) with ischemia and necrosis of the gallbladder (GB) wall. Patients with GC are sicker than the usual AC patients, and their surgical treatment is more complex and linked with a higher risk of morbidity and mortality. Typically, the first imaging modality used to assess patients with clinically suspected AC is ultrasound. However, if the ultrasound results were inconclusive, a CT scan might help evaluate these individuals. Our study presents a 62-year-old male who presented with mild right upper quadrant discomfort. However, an abdominal computed tomography CT scan showed a pericholecystic fluid collection with a sign of GB perforation that was managed with subtotal cholecystectomy. Five days after the operation, the patient was discharged to home in excellent condition.

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Section: Discussionmentioning

confidence: 99%

A Case of Asymptomatic Perforated Gangrenous Cholecystitis in a Diabetic Patient: A Critical Condition

Lahham,

Ghweir,

Alsalah

et al. 2023

Cureus

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“…GC is the most common complication of AC, with a prevalence up to 20%, particularly in patients with risk factors, such as older age, diabetes mellitus and cardiovascular disease [42]. The early recognition of GC is important because it is associated with increased morbidity and mortality [43].…”

Section: Gangrenous Cholecystitismentioning

confidence: 99%

New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

Mencarini,

Vestito,

Zagari

et al. 2024

Gastroenterology Insights

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Gallbladder diseases are very common, and their diagnosis is based on clinical–laboratory evaluation and imaging techniques. Considering the different imaging diagnostic tools, ultrasound (US) has the advantage of high accuracy combined with easy availability. Therefore, when a gallbladder disease is suspected, US can readily assist the clinician in the medical office or the emergency department. The high performance of US in the diagnosis of gallbladder diseases is mainly related to its anatomic location. The most frequent gallbladder pathological condition is gallstones disease, easily diagnosed via US examination. Acute cholecystitis (AC), a possible complication of gallstone disease, can be readily recognized due to its specific sonographic features. Additionally, a number of benign, borderline or malignant gallbladder lesions may be detected via US evaluation. The combined use of standard B-mode US and additional sonographic techniques, such as contrast-enhanced ultrasonography (CEUS), may provide a more detailed study of gallbladder lesions. Multiparametric US (combination of multiple sonographic tools) can improve the diagnostic yield during gallbladder examination.

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“…[47] The early recognition of GC is important because it is associated with increased morbidity and mortality. [48] The most common sonographic finding in GC is an irregular gallbladder wall thickening, [49,50] characterized by multiple striations with alternating hypoechoic or hyperechoic bands (Figure 2). [27] This sonographic pattern is due to the presence of intramural hemorrhage or micro-abscesses.…”

Section: Gangrenous Cholecystitismentioning

confidence: 99%

Current Status and New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

Mencarini,

Vestito,

Zagari

et al. 2023

Preprint

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Gallbladder diseases are very common and their diagnosis is based on clinical-laboratory evaluation and imaging techniques. Considering the different imaging diagnostic tools, ultrasound (US) has the advantage of high accuracy combined with easy availability. Therefore, when a gallbladder disease is suspected, US can readily assist the clinician in the medical office or in the emergency department. The high performance of US in the diagnosis of gallbladder diseases is mainly related to its anatomic location. The most frequent gallbladder pathological condition is gallstones disease, easily diagnosed by US examination. Acute cholecystitis (AC), a possible complication of gallstone disease, can be readily recognized, due to its specific sonographic features. Additionally, a number of benign, borderline or malignant gallbladder lesions may be detected by US evaluation. The combined use of standard B-mode US and additional sonographic techniques, such as contrast-enhanced ultrasonography (CEUS), may provide a more detailed study of gallbladder lesions. Multiparametric US (combination of multiple sonographic tools) can improve the diagnostic yield during gallbladder examination.

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Asymptomatic gangrenous cholecystitis diagnosed using contrast-enhanced ultrasonography in a patient with pancreatic cancer

Cited by 4 publications

References 22 publications

A Case of Asymptomatic Perforated Gangrenous Cholecystitis in a Diabetic Patient: A Critical Condition

A Case of Asymptomatic Perforated Gangrenous Cholecystitis in a Diabetic Patient: A Critical Condition

New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

Current Status and New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases

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