CT evaluation of acute cholecystitis: findings and usefulness in diagnosis.

Fidler, Jeff L.; Paulson, Erik K.; Layfield, Lester J.

doi:10.2214/ajr.166.5.8615248

Cited by 129 publications

(78 citation statements)

References 1 publication

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“…The degree of iodized oil deposit in the gallbladder wall on postprocedure spot image was classified on the basis of whether the deposit circumscribed the cystic wall more or less than 50 %. On the basis of CT criteria for acute cholecystitis [16][17][18], the development of gallbladder wall thickening, compared with baseline contrast-enhanced CT, was recorded. The development of gallbladder wall thickening was classified in one of two types.…”

Section: Discussionmentioning

confidence: 99%

Repeated Intra-Arterial Therapy via the Cystic Artery for Hepatocellular Carcinoma

Chu

Kim

Chung

et al. 2013

Cardiovasc Intervent Radiol

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Purpose To evaluate the postprocedural imaging findings and safety of repeated intra-arterial therapy via the cystic artery in patients with hepatocellular carcinoma (HCC). Methods This retrospective study was approved by our institutional review board. From February 2002 to January 2012, we performed repeated (two or more) chemotherapeutic infusion or chemoembolization via the cystic artery using iodized oil in 132 patients with HCCs. Computed tomographic (CT) scans, digital subtraction angiograms, and medical records were retrospectively reviewed by consensus. Results A total of 340 sessions of intra-arterial therapy (160 sessions of chemotherapeutic infusion and 180 sessions of chemoembolization) via the cystic artery were undertaken in 132 patients. Fifty-five of 132 patients received both chemotherapeutic infusion and chemoembolization. The incidence of gallbladder wall thickening on follow-up contrast-enhanced CT was significantly higher in chemoembolization (48 of 180, 26.7 %) than in chemotherapeutic infusion (27 of 160, 16.9 %) (P = 0.035). Persistent gallbladder wall thickening was more frequently observed in chemoembolization (48 of 107, 44.9 %) than in chemotherapeutic infusion (27 of 90, 30 %) (P = 0.039). The major complication rate was 15 of 340 sessions (4.4 %) with 11 of 132 patients (8.3 %). Acute cholecystitis, which was related to intra-arterial therapy via the cystic artery, developed in two patients and was managed by conservative treatment. Conclusion HCC supplied by the cystic artery can be safely treated by repeated intra-arterial chemotherapeutic infusion or chemoembolization using iodized oil through the cystic artery.

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Section: Discussionmentioning

confidence: 99%

Repeated Intra-Arterial Therapy via the Cystic Artery for Hepatocellular Carcinoma

Chu

Kim

Chung

et al. 2013

Cardiovasc Intervent Radiol

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“…(6,7) Characteristically, there is an enhancement rim in the adjacent liver. (8) Classically, a calculus can be seen impacted in the gallbladder neck or cystic duct (Fig.…”

Section: Ct Of Acute Cholecystitis and Associated Complicationsmentioning

confidence: 99%

“…Gallbladder mural thickening is the most common but the least specific finding and may be seen in a variety of other conditions, such as hepatitis, hypoproteinaemia, heart failure and acute pyelonephritis. (6,10,11) Gangrenous cholecystitis results from the downhill course of an episode of acute cholecystitis and occurs in up to 39% of patients with acute calculous cholecystitis. (12) It is associated with higher morbidity and mortality rates than uncomplicated acute cholecystitis.…”

Section: Ct Of Acute Cholecystitis and Associated Complicationsmentioning

confidence: 99%

Imaging of acute cholecystitis and cholecystitis-associated complications in the emergency setting

Chawla

Bosco

Lim

et al. 2015

smedj

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“…The most sensitive CT findings in acute cholecystitis are mural thickening of more than 3 mm with increased attenuation in the setting of a distended gall bladder [16]. Other findings include peri-cholecystic fluid or haziness, increased attenuation of the gall bladder bile, and subserosal oedema [16] (Fig.…”

Section: Right Upper Quadrant Painmentioning

confidence: 99%

“…Other findings include peri-cholecystic fluid or haziness, increased attenuation of the gall bladder bile, and subserosal oedema [16] (Fig. 1).…”

Section: Right Upper Quadrant Painmentioning

confidence: 99%

Multidetector computed tomography of acute abdomen

et al. 2006

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Acute abdominal pain is one of the most common causes for referrals to the emergency department. The sudden onset of severe abdominal pain characterising the "acute abdomen" requires rapid and accurate identification of a potentially lifethreatening abdominal pathology to provide a timely referral to the appropriate physician. While the physical examination and laboratory investigations are often non-specific, computed tomography (CT) has evolved as the first-line imaging modality in patients with an acute abdomen. Because the new multi-detector CT (MDCT) scanner generations provide increased speed, greater volume coverage and thinner slices, the acceptance of CT for abdominal imaging has increased rapidly. The goal of this article is to discuss the role of MDCT in the diagnostic work-up of acute abdominal pain.

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CT evaluation of acute cholecystitis: findings and usefulness in diagnosis.

Cited by 129 publications

References 1 publication

Repeated Intra-Arterial Therapy via the Cystic Artery for Hepatocellular Carcinoma

Repeated Intra-Arterial Therapy via the Cystic Artery for Hepatocellular Carcinoma

Imaging of acute cholecystitis and cholecystitis-associated complications in the emergency setting

Multidetector computed tomography of acute abdomen

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