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CT 表现:急性胆囊炎及其并发症。

CT findings of acute cholecystitis and its complications.

机构信息

Department of Radiology, University of Utah, Salt Lake City, UT 84132-2140, USA.

出版信息

AJR Am J Roentgenol. 2010 Jun;194(6):1523-9. doi: 10.2214/AJR.09.3640.

DOI:10.2214/AJR.09.3640
PMID:20489092
Abstract

OBJECTIVE

The purpose of this article is to describe and illustrate the CT findings of acute cholecystitis and its complications.

CONCLUSION

CT findings suggesting acute cholecystitis should be interpreted with caution and should probably serve as justification for further investigation with abdominal ultrasound. CT has a relatively high negative predictive value, and acute cholecystitis is unlikely in the setting of a negative CT. Complications of acute cholecystitis have a characteristic CT appearance and include necrosis, perforation, abscess formation, intraluminal hemorrhage, and wall emphysema.

摘要

目的

本文旨在描述和说明急性胆囊炎及其并发症的 CT 表现。

结论

提示急性胆囊炎的 CT 表现应谨慎解读,可能需要进一步行腹部超声检查。CT 具有相对较高的阴性预测值,在 CT 阴性的情况下,急性胆囊炎不太可能发生。急性胆囊炎的并发症具有特征性 CT 表现,包括坏死、穿孔、脓肿形成、腔内出血和壁气肿。

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