MedPix® Patient Chart - Case No: 7345 :: Imaging - Review Images

Open-Close Option Buttons MedPix™ Display: Image (0)-Pt (7345)-Topic (2744)
| | | | | | | | | | | | :: HELP ?-compass

History

Age: 41 :: Gender: Man

Patient History

41 year old male with diffuse vague abdominal pain.

Exam


Physical Exam and Laboratory

WBC . . . . . . . . . . 15k
ALK PHOS. . . . . . . . 68 IU/L
AST . . . . . . . . . . 33 IU/L
TBILI . . . . . . . . . 0.7 MG/DL
ALT . . . . . . . . . . 57 IU/L
AMYLASE . . . . . . . . 31 IU/L
LIPASE. . . . . . . . 133 U/L


Imaging

Imaging - Review Images for PT: 7345

Findings


Summary of Findings

CT and US demonstrate gallstones with gallbladder wall thickening and pericholecystic fluid collection.

Air within the gallbladder is in a non-dependent distribution. This represents air within the gallbladder. This can be seen as the "mercedes benz" sign on plain radiography.


Imaging

Imaging - Review Images for PT: 7345

Diffferential


Differential Diagnosis

Air within the gallbladder can be secondary to emphysematous cholecystitis, chole-enteric fistula, surgical manipulation of the biliary ductal system or air within the gallstones.


Imaging

Imaging - Review Images for PT: 7345

Diagnosis


Case Diagnosis

Dx: Cholecystitis, with air in the gall stones.


Dx Confirmed by: gross specimen

Topic - Read


Dig Deeper - with MedPix™ Turbo Search

Topic


Approval is Pending

Read ::

This Topic has not been approved. The Topic is available to the Author/Contributor and Editors only. If you are an Editor, you may review, Edit, and Approve.

Print

print- Print Chart
History:
41 year old male with diffuse vague abdominal pain.

Exam:
WBC . . . . . . . . . . 15k
ALK PHOS. . . . . . . . 68 IU/L
AST . . . . . . . . . . 33 IU/L
TBILI . . . . . . . . . 0.7 MG/DL
ALT . . . . . . . . . . 57 IU/L
AMYLASE . . . . . . . . 31 IU/L
LIPASE. . . . . . . . 133 U/L

Findings:
CT and US demonstrate gallstones with gallbladder wall thickening and pericholecystic fluid collection.

Air within the gallbladder is in a non-dependent distribution. This represents air within the gallbladder. This can be seen as the "mercedes benz" sign on plain radiography.

Differential:
Air within the gallbladder can be secondary to emphysematous cholecystitis, chole-enteric fistula, surgical manipulation of the biliary ductal system or air within the gallstones.

Diagnosis:
Cholecystitis, with air in the gall stones.
Confirmed by:gross specimen

Treatment and Followup:


Discussion:

Tools

User Tools
:: :: :: :: Email this Case - Share :: ::



End of Tools Tab Panel

Case Contributor and Editor
Submitted by: Aaron Cho - Author Info
Case/Image Editor: Stephanie A Bernard - Editor Info
Case Accepted: :: Revised: :: Submitted:
:: For Copyright Permissions, Please click
images - Display Images ::
Data Channel Closed

cow_pt.html :: find me