Acute cholecystitis other imaging findings: Difference between revisions
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==Overview== | ==Overview== | ||
[[Cholescintigraphy]] is the gold standard | [[Cholescintigraphy]] is the '''gold standard''' for the diagnosis of acute cholecystitis. [[Cholescintigraphy]] is an alternative method of imaging and uses technetium-labeled [[HIDA scan|hepatic 2,6-dimethyl-iminodiacetic acid]] ([[HIDA scan|HIDA]]) in difficult cases or uncertain diagnosis. Findings on a [[cholescintigraphy]] diagnostic of acute cholecystitis include lack of visualization of the [[gallbladder]]. | ||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
*[[Cholescintigraphy]] which utilizes technetium-labeled [[HIDA scan|hepatic 2,6-dimethyl-iminodiacetic acid]] ([[HIDA scan|HIDA]]) | *[[Cholescintigraphy]] which utilizes technetium-labeled [[HIDA scan|hepatic 2,6-dimethyl-iminodiacetic acid]] ([[HIDA scan|HIDA]]) is the '''gold standard''' for the diagnosis of acute cholecystitis. [[Cholescintigraphy]] is used in difficult cases or uncertain diagnosis.<ref name="pmid24679431">{{cite journal |vauthors=Knab LM, Boller AM, Mahvi DM |title=Cholecystitis |journal=Surg. Clin. North Am. |volume=94 |issue=2 |pages=455–70 |year=2014 |pmid=24679431 |doi=10.1016/j.suc.2014.01.005 |url=}}</ref><ref name="pmid28603584">{{cite journal |vauthors=Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF |title=Acute calculous cholecystitis: Review of current best practices |journal=World J Gastrointest Surg |volume=9 |issue=5 |pages=118–126 |year=2017 |pmid=28603584 |pmc=5442405 |doi=10.4240/wjgs.v9.i5.118 |url=}}</ref><ref name="pmid22798223">{{cite journal |vauthors=Kiewiet JJ, Leeuwenburgh MM, Bipat S, Bossuyt PM, Stoker J, Boermeester MA |title=A systematic review and meta-analysis of diagnostic performance of imaging in acute cholecystitis |journal=Radiology |volume=264 |issue=3 |pages=708–20 |year=2012 |pmid=22798223 |doi=10.1148/radiol.12111561 |url=}}</ref><ref name="urlImaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR)">{{cite web |url=http://www.ajronline.org/doi/full/10.2214/AJR.10.4340 |title=Imaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR) |format= |work= |accessdate=}}</ref> | ||
**Findings on a [[cholescintigraphy]] diagnostic of acute cholecystitis include: | **Findings on a [[cholescintigraphy]] diagnostic of acute cholecystitis include: | ||
***No visualization of the [[gallbladder]] | ***No visualization of the [[gallbladder]] | ||
Latest revision as of 19:03, 27 December 2017
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Acute cholecystitis other imaging findings On the Web |
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Risk calculators and risk factors for Acute cholecystitis other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Cholescintigraphy is the gold standard for the diagnosis of acute cholecystitis. Cholescintigraphy is an alternative method of imaging and uses technetium-labeled hepatic 2,6-dimethyl-iminodiacetic acid (HIDA) in difficult cases or uncertain diagnosis. Findings on a cholescintigraphy diagnostic of acute cholecystitis include lack of visualization of the gallbladder.
Other Imaging Findings
- Cholescintigraphy which utilizes technetium-labeled hepatic 2,6-dimethyl-iminodiacetic acid (HIDA) is the gold standard for the diagnosis of acute cholecystitis. Cholescintigraphy is used in difficult cases or uncertain diagnosis.[1][2][3][4]
- Findings on a cholescintigraphy diagnostic of acute cholecystitis include:
- No visualization of the gallbladder
- Findings on a cholescintigraphy diagnostic of acute cholecystitis include:
Advantages of cholescintigraphy
- Advantages of cholescintigraphy include:[1]
- Superior sensitivity to ultrasound
Limitations of cholescintigraphy
- Limitations of cholescintigraphy include:[1]
- Expensive
- Time consuming
- Radiation exposure
- Requires skilled staff
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References
- ↑ 1.0 1.1 1.2 Knab LM, Boller AM, Mahvi DM (2014). "Cholecystitis". Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.
- ↑ Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF (2017). "Acute calculous cholecystitis: Review of current best practices". World J Gastrointest Surg. 9 (5): 118–126. doi:10.4240/wjgs.v9.i5.118. PMC 5442405. PMID 28603584.
- ↑ Kiewiet JJ, Leeuwenburgh MM, Bipat S, Bossuyt PM, Stoker J, Boermeester MA (2012). "A systematic review and meta-analysis of diagnostic performance of imaging in acute cholecystitis". Radiology. 264 (3): 708–20. doi:10.1148/radiol.12111561. PMID 22798223.
- ↑ "Imaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR)".
- ↑ "Cholescintigraphy - Wikipedia".