Ultrasonographic findings in acute acalculous cholecystitis
Received: 13 July 1984 Accepted: 30 August 1984 DOI:
Cite this article as: Beckman, I., Dash, N., Sefczek, R.J. et al. Gastrointest Radiol (1985) 10: 387. doi:10.1007/BF01893137 Abstract
Acute acalculous cholecystitis (AAC) is usually seen as a complication of major surgery or trauma. Although this entity is well-known in the surgical literature, little has been written about it in the radiologic literature. A review of patient records from 1975 through 1982 revealed 16 patients with pathologically confirmed AAC on whom at least 1 sonographic study had been performed. Thickening of the gallbladder wall, a subserosal “halo” of edema, pericholecystic abscess, and marked gallbladder distention were consistent findings in AAC. In the proper clinical setting, these otherwise nonspecific findings allow a prompt and accurate diagnosis.
Key words Cholecystitis, acalculous Gallbladder, sonography References
Alaweh I: Acute noncalculous cholecystitis in burns.
Br J Surg 65:243–245, 1978
Chen PS, Aliapolis MA: Acute acalculous cholecystitis-ultrasonic appearance.
Arch Surg 113
Glenn F, Becker CB: Acute acalculous cholecystitis: an increasing entity.
Ann Surg 195
Long TN, Heimbach DM, Carrico CJ: Acalculous cholecystitis in critically ill patients.
Am J Surg 136
Munster AM, Goodwin MN, Ruitt BA Jr: Acalculous cholecystitis in burned patients.
Am J Surg 122
Rice J, Williams HC, Flint LM, Richardson JD: Post-traumatic acalculous cholecystitis.
South Med J 73
Andersson A, Bergdahl L, Boquist L: Acalculous cholecystitis.
Am J Surg 122
Eide J, Norbye B, Hartweit F: Fetal hemorrhage following atraumatic liver rupture secondary to postoperative perforation of the gallbladder.
Acta Chir Scand 141
Glenn F, Redo SF: Mitral stenosis and biliary tract disease.
Am Surg 151:139–145, 1960
Blatt JM, Floman Y: Post-traumatic acute acalculous cholecystitis.
Int Surg 57
Du Priest RW, Khaneja SC, Cowley RA: Acute cholecystitis complicating trauma.
Ann Surg 189:84–89, 1979
Golden GT, Sears HF II, Wangensteen SL: Post-traumatic cholecystitis.
Am Surg 39
Howard RJ, Delaney JP: Postoperative cholecystitis.
Am J Dig Dis 17
Howard RJ, Delaney JP: Post-traumatic cholecystitis.
Howard RJ: Acute acalculous cholecystitis.
Am J Surg 141
Kitchen PRB: Post-traumatic cholecystitis without gallstones.
Med J Aust 2
Lindberg EF, Grinnan GLB, Smith L: Acalculous cholecystitis in Viet Nam casualties.
Ann Surg 171
Mandelbaum I, Palmer RM: Post-traumatic acalculous cholecystitis.
Arch Surg 97
Myers RAM, Lorentz TG: Acute noncalculous cholecystitis following trauma.
S Afr J Surg 14
Peterson SR, Sheldon GF: Acute acalculous cholecystitis: a complication of hyperalimentation.
Am J Surg 138:814–817, 1979
Shaw RC: Post-traumatic acute acalculous cholecystitis in young males.
Milit Med 135:210–214, 1970
Shields MA: Acute acalculous cholecystitis: an important complication of trauma.
J R Coll Surg Edinburgh 18:83–86, 1973
Vilinskas J: Acute cholecystitis associated with surgery and trauma.
J Am Med Wom Assoc 27
Weeder RS, Beshant GH, Muir RW: Acute noncalculous cholecystitis associated with severe injury.
Am J Surg 119
Winegarner FC, Jackson GF: Post-traumatic acalculous cholecystitis: a highly lethal complication.
J Trauma 11
Campbell CW, Eckman MR: Acute acalculous cholecystitis caused by
Miller DD: Postoperative acalculous cholecystitis due to torulopsis glabrata.
Arch Surg 111
Glenn F: Acute cholecystitis following the surgical treatment of unrelated disease.
Ann Surg 126:411–420, 1947
Glenn F, Wantz GE: Acute cholecystitis following the surgical treatment of unrelated disease.
Surg Gynecol Obstet 102
Robertson RD: Noncalculous acute cholecystitis following surgery, trauma, and illness.
Am Surg 36
Herlin P, Jonsson P, Karp W: Postoperative acute acalculous cholecystitis — an assessment of diagnostic procedures.
Gastrointest Radiol 5
Thompson JW, Ferris DO, Baggenstoss AH: Acute cholecystitis complicating operation for other diseases.
Ann Surg 155
Kalff V, Froelich JW, Lloyd R, Thrall JH: Predictive value of an abnormal hepatobiliary scan in patients with severe intercurrent illness.
Fiske CE, Laing FC, Brown TW: Ultrasonographic evidence of gallbladder wall thickening in association with hypoalbuminemia.