The ultrasound spectrum of emphysematous cholecystitis.
This report presents a gamut of ultrasound signs that may be seen in emphysematous cholecystitis. These can be summarized as follows: Intraluminal gas: (a) A dense band of hyper-reflective echoes with distal reverberations when gallbladder is full of gas. (b) A band of reverberations in the gas-filled portion of the gallbladder with the usual signs of cholecystitis in the bile-filled portion when the gallbladder is partially full of gas. Intramural gas: (c) An area of high reflectivity in the gallbladder wall with reverberations that may change position with change in position of patient. (d) A bright hyper-reflective ring emanating from the whole circumference of the gallbladder.
Bloom
R A
RA
Department of Radiology, Hadassah University Hospital, Jerusalem, Israel.
Libson
E
E
Lebensart
P D
PD
Craciun
E
E
Klin
B
B
Fields
S I
SI
Haskell
L
L
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002764:Cholecystitis / Q000175:diagnosis* / Q000382:microbiology; D002765:Cholecystography; D004646:Emphysema / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D005704:Gallbladder / Q000473:pathology; D006801:Humans; D008297:Male; D014463:Ultrasonography