Empyema of the gallbladder

Images by Bashir Chakar    A  patient presents with fever and abdominal pain . Multiple fibrin septations are seen within the gallbladder. 12 hours post admission he had a cholecystectomy. During the operation he had  free drainage of pus from the gallbladder. Scanning though the gallbladder, multiple thin fibrin septations are seen. Thickened GB wall, Read more about Empyema of the gallbladder[…]


Images by Genevieve Carbonatto Ultrasound is the best imaging modality to diagnose cholecystitis. Cholecystitis is a frequent presentation to the Emergency department. The hall marks include Thickening of the gallbladder wall > 3mm Gallstones Impacted stones in the cystic duct or gall bladder neck Pericholecystic fluid +ve Murphy’s sign Hyperaemic gallbladder wall on colour or power Read more about Cholecystitis[…]

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 , Read more about Acalculous cholecystitis[…]