Gastrointestinal Radiology

, Volume 10, Issue 1, pp 387–389

Ultrasonographic findings in acute acalculous cholecystitis

  • Irwin Beckman
  • Nilima Dash
  • Robert J. Sefczek
  • Anthony R. Lupetin
  • Jeffrey S. Anderson
  • Daniel L. Diamond
  • Joseph C. Young
Article

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 

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References

  1. 1.
    Alaweh I: Acute noncalculous cholecystitis in burns.Br J Surg 65:243–245, 1978Google Scholar
  2. 2.
    Chen PS, Aliapolis MA: Acute acalculous cholecystitis-ultrasonic appearance.Arch Surg 113:1461–1462, 1978PubMedGoogle Scholar
  3. 3.
    Glenn F, Becker CB: Acute acalculous cholecystitis: an increasing entity.Ann Surg 195:131–136, 1982PubMedGoogle Scholar
  4. 4.
    Long TN, Heimbach DM, Carrico CJ: Acalculous cholecystitis in critically ill patients.Am J Surg 136:31–36, 1978CrossRefPubMedGoogle Scholar
  5. 5.
    Munster AM, Goodwin MN, Ruitt BA Jr: Acalculous cholecystitis in burned patients.Am J Surg 122:591–593, 1971PubMedGoogle Scholar
  6. 6.
    Rice J, Williams HC, Flint LM, Richardson JD: Post-traumatic acalculous cholecystitis.South Med J 73:14–17, 1980PubMedGoogle Scholar
  7. 7.
    Andersson A, Bergdahl L, Boquist L: Acalculous cholecystitis.Am J Surg 122:3–7, 1971CrossRefPubMedGoogle Scholar
  8. 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, 1975PubMedGoogle Scholar
  9. 9.
    Glenn F, Redo SF: Mitral stenosis and biliary tract disease.Am Surg 151:139–145, 1960Google Scholar
  10. 10.
    Blatt JM, Floman Y: Post-traumatic acute acalculous cholecystitis.Int Surg 57:982–983, 1972PubMedGoogle Scholar
  11. 11.
    Du Priest RW, Khaneja SC, Cowley RA: Acute cholecystitis complicating trauma.Ann Surg 189:84–89, 1979Google Scholar
  12. 12.
    Golden GT, Sears HF II, Wangensteen SL: Post-traumatic cholecystitis.Am Surg 39:275–278, 1973PubMedGoogle Scholar
  13. 13.
    Howard RJ, Delaney JP: Postoperative cholecystitis.Am J Dig Dis 17:213–218, 1972CrossRefPubMedGoogle Scholar
  14. 14.
    Howard RJ, Delaney JP: Post-traumatic cholecystitis.JAMA 218:1006–1007, 1971CrossRefPubMedGoogle Scholar
  15. 15.
    Howard RJ: Acute acalculous cholecystitis.Am J Surg 141:194–198, 1981CrossRefPubMedGoogle Scholar
  16. 16.
    Kitchen PRB: Post-traumatic cholecystitis without gallstones.Med J Aust 2:595–596, 1973PubMedGoogle Scholar
  17. 17.
    Lindberg EF, Grinnan GLB, Smith L: Acalculous cholecystitis in Viet Nam casualties.Ann Surg 171:152–157, 1970PubMedGoogle Scholar
  18. 18.
    Mandelbaum I, Palmer RM: Post-traumatic acalculous cholecystitis.Arch Surg 97:601–604, 1968PubMedGoogle Scholar
  19. 19.
    Myers RAM, Lorentz TG: Acute noncalculous cholecystitis following trauma.S Afr J Surg 14:55–58, 1976PubMedGoogle Scholar
  20. 20.
    Peterson SR, Sheldon GF: Acute acalculous cholecystitis: a complication of hyperalimentation.Am J Surg 138:814–817, 1979Google Scholar
  21. 21.
    Shaw RC: Post-traumatic acute acalculous cholecystitis in young males.Milit Med 135:210–214, 1970Google Scholar
  22. 22.
    Shields MA: Acute acalculous cholecystitis: an important complication of trauma.J R Coll Surg Edinburgh 18:83–86, 1973Google Scholar
  23. 23.
    Vilinskas J: Acute cholecystitis associated with surgery and trauma.J Am Med Wom Assoc 27:422–423, 1972PubMedGoogle Scholar
  24. 24.
    Weeder RS, Beshant GH, Muir RW: Acute noncalculous cholecystitis associated with severe injury.Am J Surg 119:729–732, 1970CrossRefPubMedGoogle Scholar
  25. 25.
    Winegarner FC, Jackson GF: Post-traumatic acalculous cholecystitis: a highly lethal complication.J Trauma 11:567–569, 1971PubMedGoogle Scholar
  26. 26.
    Campbell CW, Eckman MR: Acute acalculous cholecystitis caused bySalmonella Indiana.JAMA 233:815, 1975PubMedGoogle Scholar
  27. 27.
    Miller DD: Postoperative acalculous cholecystitis due to torulopsis glabrata.Arch Surg 111:1404–1405, 1976PubMedGoogle Scholar
  28. 28.
    Glenn F: Acute cholecystitis following the surgical treatment of unrelated disease.Ann Surg 126:411–420, 1947Google Scholar
  29. 29.
    Glenn F, Wantz GE: Acute cholecystitis following the surgical treatment of unrelated disease.Surg Gynecol Obstet 102:145–153, 1956PubMedGoogle Scholar
  30. 30.
    Robertson RD: Noncalculous acute cholecystitis following surgery, trauma, and illness.Am Surg 36:610–614, 1970PubMedGoogle Scholar
  31. 31.
    Herlin P, Jonsson P, Karp W: Postoperative acute acalculous cholecystitis — an assessment of diagnostic procedures.Gastrointest Radiol 5:147–150, 1980CrossRefPubMedGoogle Scholar
  32. 32.
    Thompson JW, Ferris DO, Baggenstoss AH: Acute cholecystitis complicating operation for other diseases.Ann Surg 155:489–494, 1962PubMedGoogle Scholar
  33. 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, 1983PubMedGoogle Scholar
  34. 34.
    Fiske CE, Laing FC, Brown TW: Ultrasonographic evidence of gallbladder wall thickening in association with hypoalbuminemia.Radiology 135:713–716, 1980PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • Irwin Beckman
    • 1
  • Nilima Dash
    • 1
  • Robert J. Sefczek
    • 1
  • Anthony R. Lupetin
    • 1
  • Jeffrey S. Anderson
    • 1
  • Daniel L. Diamond
    • 1
  • Joseph C. Young
    • 1
  1. 1.Department of Diagnostic Radiology and SurgeryAllegheny HospitalPittsburghUSA

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