title: Acute gangrenous cholecystitis diagnosed on gallium scan.
abstract: A 72-year-old male patient was hospitalized with diffused abdominal pain with worsening renal insufficiency, intermittent vomiting, and a spiking fever. Initial CT scan and sonography showed a dilated gallbladder with a polyp, but no calculi. A gallium scan with SPECT/CT revealed intense gallbladder uptake with a cold central area. Acute gangrenous cholecystitis was suspected as the likely diagnosis and cause of his discomfort and fever. Subsequent cholecystectomy confirmed the diagnosis.
authors.affiliation: From the Division of Nuclear Medicine, Department of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY.
authors.forename: Hong Yun
authors.initials: HY
authors.lastname: Ma
authors.forename: Leonard M
authors.initials: LM
authors.lastname: Freeman
mesh_terms: D000368:Aged; D041881:Cholecystitis, Acute / Q000150:complications* / Q000000981:diagnostic imaging*; D005710:Gallium Radioisotopes; D005734:Gangrene / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D064847:Multimodal Imaging; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D051598:Whole Body Imaging
chemical_list: D005710:Gallium Radioisotopes