Low sensitivity of sonography and cholescintigraphy in acalculous cholecystitis

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Usefulness of fatty meal-stimulated cholescintigraphy in the diagnosis and treatment of chronic acalculous cholecystitis.

OBJECTIVE Fatty meal cholescintigraphy (fatty meal CS) is a potential physiologic alternative for cholecystokinin (CCK) CS in the diagnosis and treatment of chronic acalculous cholecystitis (CAC). However, there are limited data in the literature to support this assumption. Our objective was to determine the usefulness of fatty meal CS in the diagnosis and treatment of CAC. METHODS We retrosp...

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Acute acalculous perforated cholecystitis.

A case of acute acalculous perforated cholecystitis with acute generalized peritonitis in a middle aged cachectic man, presenting late in a moribund condition, is reported. He underwent emergency laparotomy (subtotal cholecystectomy), went into multi-organ failure and was managed accordingly. The patient recovered in about 2 weeks and was followed-up regularly.

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Acute acalculous cholecystitis in dengue fever.

OBJECTIVE To investigate the frequency, clinical features, management and outcome of acute acalculous cholecystitis in dengue fever patients. METHODS Forty patients were admitted with the diagnosis of dengue fever, according to the clinical manifestations and laboratory investigations. The diagnosis of dengue fever was confirmed by a positive IgM antibody test result for a late or convalescen...

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Brucellosis Associated with Acute Acalculous Cholecystitis

Brucellosis is a rare cause of acute acalculous cholecystitis.  We report a 45-year-old, previously healthy, man with brucellosis who presented with abdominal pain due to cholecystitis.

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Fatty meal ultrasonography in chronic acalculous cholecystitis

Chronic acalculous cholecystits typically presents with biliary symptoms, normal blood tests and unremarkable ultrasound, computerized tomography and magnetic resonance cholangiopancreatography. However, cholescintigraphy may show reduced gallbladder ejection fraction (GBEF). There are no reports on using ultrasound to measure GBEF in adults. Twenty-eight patients with the above presentation un...

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ژورنال

عنوان ژورنال: American Journal of Roentgenology

سال: 1984

ISSN: 0361-803X,1546-3141

DOI: 10.2214/ajr.142.3.531