Chronic cholecystitis MRI: Difference between revisions

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Revision as of 19:14, 2 June 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Chronic cholecystitis Microchapters

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MRI

  • MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis of acute cholecystitis and associated gallbladder disease (gallstones).[1]
  • Findings on an MRI include
    • Gallbladder distension
    • Intraluminal sludge
    • Gallstones
    • Impacted stones obstructing the neck of the gallbladder
    • 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 the use of intravenous paramagnetic contrast.
  • Complications, such as the conditions below, can be identified at an early stage.
    • Gangrene
    • Perforation
    • Pericholecystic abscess
    • Intrahepatic fistulization

MR Images Demonstrate Findings that are Consistent with Acute Cholecystitis (Pericholicystic fluid and GB Wall Thickening)

References

  1. 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 |month= ignored (help)

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