Chronic cholecystitis MRI: Difference between revisions
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* MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis of acute cholecystitis and associated gall bladder disease (gall stones)<ref name="pmid22447440">{{cite journal |author=Tonolini M, Ravelli A, Villa C, Bianco R |title=Urgent MRI with MR cholangiopancreatography (MRCP) of acute cholecystitis and related complications: diagnostic role and spectrum of imaging findings |journal=[[Emergency Radiology]] |volume=19 |issue=4 |pages=341–8 |year=2012 |month=August |pmid=22447440 |doi=10.1007/s10140-012-1038-z |url=http://dx.doi.org/10.1007/s10140-012-1038-z |accessdate=2012-08-20}}</ref>. | * MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis of acute cholecystitis and associated gall bladder disease (gall stones)<ref name="pmid22447440">{{cite journal |author=Tonolini M, Ravelli A, Villa C, Bianco R |title=Urgent MRI with MR cholangiopancreatography (MRCP) of acute cholecystitis and related complications: diagnostic role and spectrum of imaging findings |journal=[[Emergency Radiology]] |volume=19 |issue=4 |pages=341–8 |year=2012 |month=August |pmid=22447440 |doi=10.1007/s10140-012-1038-z |url=http://dx.doi.org/10.1007/s10140-012-1038-z |accessdate=2012-08-20}}</ref>. | ||
* Finding on MRI include | * Finding on MRI include | ||
** | ** Gall bladder distension | ||
** Intraluminal sludge | ** Intraluminal sludge | ||
** Gallstones | ** Gallstones | ||
** Impacted stones obstructing the neck of the | ** Impacted stones obstructing the neck of the gall bladder neck | ||
** Cystic duct obstruction | ** Cystic duct obstruction | ||
** Thickening of the | ** Thickening of the gall bladder wall | ||
** Abnormal signal intensity due to edematous stratification | ** Abnormal signal intensity due to edematous stratification | ||
** Pericholecystic and perihepatic fluid | ** Pericholecystic and perihepatic fluid | ||
** Increased enhancement of the | ** Increased enhancement of the gall bladder wall and adjacent liver parenchyma with intravenous paramagnetic contrast is used | ||
* Complications can be identified at early stage like | * Complications can be identified at early stage like | ||
** Gangrene | ** Gangrene | ||
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===Images=== | ===Images=== | ||
''' MR images demonstrates findings that are consistent with acute cholecystitis ( | ''' MR images demonstrates findings that are consistent with acute cholecystitis (pericholicystic fluid, GB wall thickening)''' | ||
<gallery> | <gallery> | ||
Image: | Image: | ||
Revision as of 18:28, 4 September 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
MRI
- MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis of acute cholecystitis and associated gall bladder disease (gall stones)[1].
- Finding on MRI include
- Gall bladder distension
- Intraluminal sludge
- Gallstones
- Impacted stones obstructing the neck of the gall bladder neck
- Cystic duct obstruction
- Thickening of the gall bladder wall
- Abnormal signal intensity due to edematous stratification
- Pericholecystic and perihepatic fluid
- Increased enhancement of the gall bladder wall and adjacent liver parenchyma with intravenous paramagnetic contrast is used
- Complications can be identified at early stage like
- Gangrene
- Perforation
- Pericholecystic abscess
- Intrahepatic fistulization
Images
MR images demonstrates findings that are consistent with acute cholecystitis (pericholicystic fluid, GB wall thickening)
References
- ↑ Tonolini M, Ravelli A, Villa C, Bianco R (2012). "Urgent MRI with MR cholangiopancreatography (MRCP) of acute cholecystitis and related complications: diagnostic role and spectrum of imaging findings". Emergency Radiology. 19 (4): 341–8. doi:10.1007/s10140-012-1038-z. PMID 22447440. Retrieved 2012-08-20. Unknown parameter
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