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The ultrasound spectrum of emphysematous cholecystitis
Author(s) -
Bloom Ronald A.,
Libson Eugene,
Lebensart Pinchus D.,
Craciun Eli,
Klin Baruch,
Fields Scott I.,
Haskell Liliana
Publication year - 1989
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870170404
Subject(s) - gallbladder , medicine , cholecystitis , ultrasound , position (finance) , radiology , cholecystectomy , acute cholecystitis , chronic cholecystitis , general surgery , surgery , finance , economics
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.