Acalculous cholecystitis

Images by Genevieve Carbonatto

A young 33 year old woman presents with 4 days of abdominal pain. She is now febrile and vomiting. She has previously been well. An ultrasound of her RUQ shows acalculous cholecystitis.  While acalculous cholecystitis is usually associated with risk factors such as extensive burns, polytrauma, major surgery, end stage renal disease , leukemia and severe infection, diabetes and HIV, patients may present who have no risk factors at all.

The ultrasound features demonstrated here include

  • Thickened GB wall : 0.47 cm
  • Pericholecystic fluid
  • Hyperaemic wall using colour Doppler





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