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Review

Multidetector Computed Tomography (MDCT) Findings of Complications of Acute Cholecystitis. A Pictorial Essay

1
Radiology Unit, Buon Consiglio Fatebenefratelli Hospital, 80123 Naples, Italy
2
Diagnostic Imaging and Radiotherapy Department, Azienda Ospedaliera Universitaria “Federico II”, 80131 Naples, Italy
3
Surgery Unit, Buon Consiglio Fatebenefratelli Hospital, 80123 Naples, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Stefania Tamburrini
Tomography 2022, 8(2), 1159-1171; https://doi.org/10.3390/tomography8020095
Received: 28 February 2022 / Revised: 7 April 2022 / Accepted: 12 April 2022 / Published: 18 April 2022
(This article belongs to the Special Issue Imaging in Non-Traumatic Emergencies)
Acute cholecystitis stands out as one of the most common surgical pathologies that should always be considered in a right-upper abdominal pain emergency. For this, the importance of a correct diagnosis is well described. However, it has been demonstrated that the simple combination of clinical (pain, Murphy’s sign) and laboratory (leukocytosis) parameters alone does not provide for ruling in or ruling out the diagnosis of this condition, unless accompanied by a radiological exam. For a long time, and still today, ultrasonography (US) is by far the first-to-proceed radiologic exam to perform, thanks to its rapidity and very high sensibility and specificity for the diagnosis of simple acute cholecystitis. However, acute cholecystitis can undergo some complications that US struggles to find. In addition to that, studies suggest that multidetector computed tomography (MDCT) is superior in showing complicated forms of cholecystitis in relation to sensibility and specificity and for its capability of reformatting multiplanar (MPR) reconstructions that give a more detailed view of complications. They have shown to be useful for a precise evaluation of vascular complications, the anatomy of the biliary tree, and the extension of inflammation to surrounding structures (i.e., colitis). Therefore, based also on our experience, in patients with atypical presentation, or in cases with high suspicion for a complicated form, a MDCT abdomen scan is performed. In this review, the principal findings are listed and described to create a CT classification of acute complications based on anatomical and topographic criteria. View Full-Text
Keywords: abscess; aneurysm; cholangitis; colitis; computed tomography; pancreatitis; portal thrombosis; pseudoaneurysm; pylephlebitis abscess; aneurysm; cholangitis; colitis; computed tomography; pancreatitis; portal thrombosis; pseudoaneurysm; pylephlebitis
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MDPI and ACS Style

Sandomenico, F.; Sanduzzi, L.; La Verde, E.; Vicenzo, E.; Pirolo, L.; Maione, S.; Setola, F.R.; Macchia, V.; Dello Iacono, U.; Barbato, D.; Peluso, G.; Santangelo, M.; Brunetti, A. Multidetector Computed Tomography (MDCT) Findings of Complications of Acute Cholecystitis. A Pictorial Essay. Tomography 2022, 8, 1159-1171. https://doi.org/10.3390/tomography8020095

AMA Style

Sandomenico F, Sanduzzi L, La Verde E, Vicenzo E, Pirolo L, Maione S, Setola FR, Macchia V, Dello Iacono U, Barbato D, Peluso G, Santangelo M, Brunetti A. Multidetector Computed Tomography (MDCT) Findings of Complications of Acute Cholecystitis. A Pictorial Essay. Tomography. 2022; 8(2):1159-1171. https://doi.org/10.3390/tomography8020095

Chicago/Turabian Style

Sandomenico, Fabio, Luca Sanduzzi, Emilia La Verde, Emilio Vicenzo, Luigi Pirolo, Salvatore Maione, Francesca R. Setola, Valeria Macchia, Umberto Dello Iacono, Domenico Barbato, Gaia Peluso, Michele Santangelo, and Arturo Brunetti. 2022. "Multidetector Computed Tomography (MDCT) Findings of Complications of Acute Cholecystitis. A Pictorial Essay" Tomography 8, no. 2: 1159-1171. https://doi.org/10.3390/tomography8020095

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