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Ultrasonographic findings in acute acalculous cholecystitis

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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.

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References

  1. Alaweh I: Acute noncalculous cholecystitis in burns.Br J Surg 65:243–245, 1978

    Google Scholar 

  2. Chen PS, Aliapolis MA: Acute acalculous cholecystitis-ultrasonic appearance.Arch Surg 113:1461–1462, 1978

    CAS  PubMed  Google Scholar 

  3. Glenn F, Becker CB: Acute acalculous cholecystitis: an increasing entity.Ann Surg 195:131–136, 1982

    CAS  PubMed  Google Scholar 

  4. Long TN, Heimbach DM, Carrico CJ: Acalculous cholecystitis in critically ill patients.Am J Surg 136:31–36, 1978

    Article  CAS  PubMed  Google Scholar 

  5. Munster AM, Goodwin MN, Ruitt BA Jr: Acalculous cholecystitis in burned patients.Am J Surg 122:591–593, 1971

    CAS  PubMed  Google Scholar 

  6. Rice J, Williams HC, Flint LM, Richardson JD: Post-traumatic acalculous cholecystitis.South Med J 73:14–17, 1980

    CAS  PubMed  Google Scholar 

  7. Andersson A, Bergdahl L, Boquist L: Acalculous cholecystitis.Am J Surg 122:3–7, 1971

    Article  CAS  PubMed  Google Scholar 

  8. Eide J, Norbye B, Hartweit F: Fetal hemorrhage following atraumatic liver rupture secondary to postoperative perforation of the gallbladder.Acta Chir Scand 141:316–318, 1975

    CAS  PubMed  Google Scholar 

  9. Glenn F, Redo SF: Mitral stenosis and biliary tract disease.Am Surg 151:139–145, 1960

    CAS  Google Scholar 

  10. Blatt JM, Floman Y: Post-traumatic acute acalculous cholecystitis.Int Surg 57:982–983, 1972

    CAS  PubMed  Google Scholar 

  11. Du Priest RW, Khaneja SC, Cowley RA: Acute cholecystitis complicating trauma.Ann Surg 189:84–89, 1979

    Google Scholar 

  12. Golden GT, Sears HF II, Wangensteen SL: Post-traumatic cholecystitis.Am Surg 39:275–278, 1973

    CAS  PubMed  Google Scholar 

  13. Howard RJ, Delaney JP: Postoperative cholecystitis.Am J Dig Dis 17:213–218, 1972

    Article  CAS  PubMed  Google Scholar 

  14. Howard RJ, Delaney JP: Post-traumatic cholecystitis.JAMA 218:1006–1007, 1971

    Article  CAS  PubMed  Google Scholar 

  15. Howard RJ: Acute acalculous cholecystitis.Am J Surg 141:194–198, 1981

    Article  CAS  PubMed  Google Scholar 

  16. Kitchen PRB: Post-traumatic cholecystitis without gallstones.Med J Aust 2:595–596, 1973

    CAS  PubMed  Google Scholar 

  17. Lindberg EF, Grinnan GLB, Smith L: Acalculous cholecystitis in Viet Nam casualties.Ann Surg 171:152–157, 1970

    CAS  PubMed  Google Scholar 

  18. Mandelbaum I, Palmer RM: Post-traumatic acalculous cholecystitis.Arch Surg 97:601–604, 1968

    CAS  PubMed  Google Scholar 

  19. Myers RAM, Lorentz TG: Acute noncalculous cholecystitis following trauma.S Afr J Surg 14:55–58, 1976

    CAS  PubMed  Google Scholar 

  20. Peterson SR, Sheldon GF: Acute acalculous cholecystitis: a complication of hyperalimentation.Am J Surg 138:814–817, 1979

    Google Scholar 

  21. Shaw RC: Post-traumatic acute acalculous cholecystitis in young males.Milit Med 135:210–214, 1970

    CAS  Google Scholar 

  22. Shields MA: Acute acalculous cholecystitis: an important complication of trauma.J R Coll Surg Edinburgh 18:83–86, 1973

    CAS  Google Scholar 

  23. Vilinskas J: Acute cholecystitis associated with surgery and trauma.J Am Med Wom Assoc 27:422–423, 1972

    CAS  PubMed  Google Scholar 

  24. Weeder RS, Beshant GH, Muir RW: Acute noncalculous cholecystitis associated with severe injury.Am J Surg 119:729–732, 1970

    Article  CAS  PubMed  Google Scholar 

  25. Winegarner FC, Jackson GF: Post-traumatic acalculous cholecystitis: a highly lethal complication.J Trauma 11:567–569, 1971

    CAS  PubMed  Google Scholar 

  26. Campbell CW, Eckman MR: Acute acalculous cholecystitis caused bySalmonella Indiana.JAMA 233:815, 1975

    CAS  PubMed  Google Scholar 

  27. Miller DD: Postoperative acalculous cholecystitis due to torulopsis glabrata.Arch Surg 111:1404–1405, 1976

    CAS  PubMed  Google Scholar 

  28. Glenn F: Acute cholecystitis following the surgical treatment of unrelated disease.Ann Surg 126:411–420, 1947

    Google Scholar 

  29. Glenn F, Wantz GE: Acute cholecystitis following the surgical treatment of unrelated disease.Surg Gynecol Obstet 102:145–153, 1956

    CAS  PubMed  Google Scholar 

  30. Robertson RD: Noncalculous acute cholecystitis following surgery, trauma, and illness.Am Surg 36:610–614, 1970

    CAS  PubMed  Google Scholar 

  31. Herlin P, Jonsson P, Karp W: Postoperative acute acalculous cholecystitis — an assessment of diagnostic procedures.Gastrointest Radiol 5:147–150, 1980

    Article  CAS  PubMed  Google Scholar 

  32. Thompson JW, Ferris DO, Baggenstoss AH: Acute cholecystitis complicating operation for other diseases.Ann Surg 155:489–494, 1962

    PubMed  Google Scholar 

  33. Kalff V, Froelich JW, Lloyd R, Thrall JH: Predictive value of an abnormal hepatobiliary scan in patients with severe intercurrent illness.Radiology 146:191–194, 1983

    CAS  PubMed  Google Scholar 

  34. Fiske CE, Laing FC, Brown TW: Ultrasonographic evidence of gallbladder wall thickening in association with hypoalbuminemia.Radiology 135:713–716, 1980

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology and Surgery, Allegheny Hospital, 15212, Pittsburgh, Pennsylvania, USA

    Irwin Beckman, Nilima Dash, Robert J. Sefczek M.D., Anthony R. Lupetin, Jeffrey S. Anderson, Daniel L. Diamond & Joseph C. Young

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  1. Irwin Beckman
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  2. Nilima Dash
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  3. Robert J. Sefczek M.D.
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  4. Anthony R. Lupetin
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  5. Jeffrey S. Anderson
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  6. Daniel L. Diamond
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  7. Joseph C. Young
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Beckman, I., Dash, N., Sefczek, R.J. et al. Ultrasonographic findings in acute acalculous cholecystitis. Gastrointest Radiol 10, 387–389 (1985). https://doi.org/10.1007/BF01893137

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  • DOI: https://doi.org/10.1007/BF01893137

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