File:Cholecystoenteric fistula (Radiopaedia 68368-77902 A 1).PNG

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Cholecystoenteric_fistula_(Radiopaedia_68368-77902_A_1).PNG ‎(621 × 473 pixels, file size: 344 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 68368
  • Study ID: 77902
  • Image ID: 49694820
  • Plane projection: Axial
  • Modality: CT
  • System: Interventional
  • Findings: Post contrast CT in portal venous phase imaging showing a gall bladder which is not normal. GB is very inflamed with ill-defined fluid collections adjacent to gall Bladder, anterior to liver, inflammatory changes in the ascending colon, hepatic flexure and duodenum. Air in the GB fossa and in duodenum, should increase the radiologist's suspicion for a complication of chronic cholecystitis like a cholecystoduodenal fistula.
  • Study findings: CT scan with contrast showing an inflamed GB and air in the GB fossa with severe pericholecystic inflammatory changes. However, there is an improvement in the fluid collection from the CT 3 days prior. Differential diagnosis include gangrenous cholecystitis with cholecystoenteric fistula. This was confirmed on PTC performed subsequently.
  • Author location: Augusta, United States
Date 20 Jun 2019
Source Cholecystoenteric fistula
Author Jayanth Keshavamurthy
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

This file is ineligible for copyright and therefore in the public domain, because it is a technical image created as part of a standard medical diagnostic procedure. No creative element rising above the threshold of originality was involved in its production.

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current18:24, 10 August 2021Thumbnail for version as of 18:24, 10 August 2021621 × 473 (344 KB)Fæ (talk | contribs)Radiopaedia project rID:68368 (batch #7564-1 A1)

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