Chronic cholecystitis MRI
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
- Gallbladder distension
- Intraluminal sludge
- Gallstones
- Impacted stones obstructing the neck of the gallbladder neck
- Cystic duct obstruction
- Thickening of the gallbladder wall
- Abnormal signal intensity due to edematous stratification
- Pericholecystic and perihepatic fluid
- Increased enhancement of the gallbladder 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 (perichol 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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