Oppenheimer Daniel C, Rubens Deborah J
Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.
Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Avenue, Box 648, Rochester, NY 14642, USA.
Radiol Clin North Am. 2019 May;57(3):535-548. doi: 10.1016/j.rcl.2019.01.002. Epub 2019 Feb 10.
Right upper quadrant (RUQ) abdominal pain is a common complaint. Acute cholecystitis (AC) is the primary diagnostic consideration in most adults presenting with acute onset RUQ abdominal pain; however, a variety of other conditions can mimic AC. Abdominal ultrasound (US) receives the highest score for imaging appropriateness for these patients. This article reviews the sonographic findings of uncomplicated and complicated AC and provides practical technical tips. The radiologist should be familiar with conditions that can mimic AC, be able to suggest these alternative diagnoses when findings are present on US, and recommend additional tests or procedures, if needed.
右上腹（RUQ）腹痛是一种常见的主诉。急性胆囊炎（AC）是大多数急性发作右上腹腹痛的成年人的主要诊断考虑因素；然而，多种其他病症可酷似AC。腹部超声（US）对这些患者的成像适宜性评分最高。本文回顾了非复杂性和复杂性AC的超声检查结果，并提供实用的技术提示。放射科医生应熟悉可酷似AC的病症，当US检查发现有这些情况时能够提出这些替代诊断，并在需要时推荐额外的检查或程序。
