Answer of May 2003

 

Clinical History:


Right upper abdominal pain for 2 days associated with vomiting.



                                           Figure 1


                                           Figure 2


                                           Figure 3

 

Diagnosis:


Acute cholecystitis


Discussion:



Figure 1, 2 and 3: CT abdomen shows distended gallbladder with multiple small gallstones. The gallbladder wall is ill-defined. There are pericholecystic fluid, and increased surrounding fatty stranding.