Hyperdense gallbladder wall sign - An overlooked sign of acute cholecystitis on unenhanced CT examination

被引：18

作者：

Cheng, SM ^{[1
]}

Ng, SP ^{[1
]}

Shih, SL ^{[1
]}

机构：

[1] Mackay Mem Hosp, Dept Radiol, Taipei, Taiwan

来源：

CLINICAL IMAGING | 2004年 / 28卷 / 02期

关键词：

high-density gallbladder wall sign; acute cholecystitis; CT;

D O I：

10.1016/S0899-7071(03)00196-7

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];

摘要：

We reviewed the unenhanced computer tomography (CT) scans of 53 patients with surgically proven acute cholecystitis, where 27 patients presented with hyperdense gallbladder wall. To our knowledge, this sign was never reported before. Because mucosa is highly sensitive to ischemia, early mucosal necrosis and hemorrhage may result in CT-detectable high density. Similar episode may also occur in acute cholecystitis. This sign also reflects high probability for acute gangrenous cholecystitis. We suggest that patients with this sign should have urgent treatment. (C) 2004 Elsevier Inc. All rights reserved.

引用

页码：128 / 131

页数：4

共 8 条

[1]

Alterman D.D, 1996, EMERG RADIOL, V3, P25, DOI [10.1007/BF01508162, DOI 10.1007/BF01508162]

[2]

CT findings in acute gangrenous cholecystitis [J].