Chronic cholecystitis MRI: Difference between revisions
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==MRI== | ==MRI== | ||
* MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis | * MRI with MR cholangiopancreatography in the emergency setting provides rapid, noninvasive, and confident diagnosis of acute cholecystitis and associated [[gallbladder disease]] ([[gallstones]]).<ref name="pmid22447440">{{cite journal |author=Tonolini M, Ravelli A, Villa C, Bianco R |title=Urgent MRI with MR cholangiopancreatography (MRCP) of acute cholecystitis and related complications: diagnostic role and spectrum of imaging findings |journal=[[Emergency Radiology]] |volume=19 |issue=4 |pages=341–8 |year=2012 |month=August |pmid=22447440 |doi=10.1007/s10140-012-1038-z |url=http://dx.doi.org/10.1007/s10140-012-1038-z |accessdate=2012-08-20}}</ref> | ||
* | * Findings on an MRI include | ||
** | ** Gallbladder distension | ||
** Intraluminal sludge | ** Intraluminal sludge | ||
** Gallstones | ** Gallstones | ||
** Impacted stones obstructing the neck of the | ** Impacted stones obstructing the neck of the gallbladder | ||
** Cystic duct obstruction | ** [[Cystic duct]] obstruction | ||
** Thickening of the | ** Thickening of the gallbladder wall | ||
** Abnormal signal intensity due to edematous stratification | ** Abnormal signal intensity due to edematous stratification | ||
** Pericholecystic and perihepatic fluid | ** Pericholecystic and perihepatic fluid | ||
** Increased enhancement of the | ** Increased enhancement of the [[gallbladder]] wall and adjacent liver parenchyma with the use of intravenous paramagnetic contrast. | ||
* Complications can be identified at early stage | * Complications, such as the conditions below, can be identified at an early stage. | ||
** Gangrene | ** [[Gangrene]] | ||
** Perforation | ** Perforation | ||
** Pericholecystic abscess | ** Pericholecystic abscess | ||
** Intrahepatic fistulization | ** Intrahepatic fistulization | ||
===MR Images | ===MR Images Demonstrate Findings that are Consistent with Acute Cholecystitis (Pericholicystic fluid and GB Wall Thickening)=== | ||
<gallery> | <gallery> | ||
Image: | Image: | ||
Revision as of 14:12, 15 February 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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
- ↑ 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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