2024年7月2日 · Cholecystectomies are one of the most common surgical procedures performed. Evidence of a cholecystectomy is often seen on imaging procedures with surgical clips in the gallbladder fossa and radiologists should be aware of possible complications....

The various imaging modalities are complementary and no single imaging modality is specific for a particular complication.[3,4] In general, patients with evidence of pain, fever, jaundice or biliary fistula should have an imaging study to look for fluid (abscess, biloma) in the abdomen, either by an ultrasound or an abdominal CT scan. In ...

CT scan of 62-year-old woman with abdominal pain and pyrexia after laparoscopic cholecystectomy shows mixed gas–fluid attenuation in gallbladder fossa, consistent with Surgicel (oxidized regenerated cellulose, Johnson & Johnson Ethicon) (arrow). Review of surgical notes confirmed that Surgicel had been used in gallbladder bed.

2024年6月28日 · Bile leak post-cholecystectomy confirmed on a HIDA scan. a Axial CT image showing postsurgical collections in the gall bladder fossa and around the right lobe of the liver (white arrows). b The HIDA scan demonstrates progressive tracer accumulation in the gall bladder fossa, suggesting a bile leak (long black arrows). Tracer excretion into the ...

2022年7月29日 · Dropped gallstone with abscess in a 90-year-old woman with a remote history of laparoscopic cholecystectomy. Axial noncontrast CT image shows a fluid collection in the right paracolic gutter (arrow) crossing fascial planes into the right retroperitoneum and through the chest wall surrounding the ribs. ...

2020年3月9日 · A 70-year-old man status after open subtotal cholecystectomy underwent CT for increasing postoperative abdominal pain. Axial CT images ... (MRCP), or hepatobiliary iminodiacetic acid (HIDA) scan, with the choice determined by the acuity of presentation and level of suspicion. Ultrasound is useful for documenting the presence of a fluid ...

CBD = common bile duct. Fig. 3. Pre-cholecystectomy CT scan of a 48-year-old male who developed non-obstructive compensatory CBD dilatation after cholecystectomy shows numerous small gallstones with the largest CBD diameter (red lines) measured as 8.3 mm in the coronal plane (A) and 6.8 mm in the axial plane (B), and follow-up CT scan approximately 10 years after cholecystectomy shows ...

OBJECTIVE. The purpose of this article is to describe the imaging findings after laparoscopic cholecystectomy, including the normal postoperative findings and the typical appearances of major complications. The relative merits of the imaging techniques available are discussed. CONCLUSION. Laparoscopic cholecystectomy is a commonly performed surgical procedure and radiologists are often called ...

2012年11月23日 · Fig. 12 —70-year-old woman with palpable mass and abdominal pain in periumbilical area after laparoscopic cholecystectomy. Axial contrast-enhanced CT scan shows relatively large dehiscence of anterior and posterior fascial plane at umbilical trocar site (arrows) as well as herniation of omentum (arrowheads). Increased attenuation of herniated ...

2013年11月13日 · Laparoscopic cholecystectomy is the gold standard treatment option for cholelithiasis. In order to properly assess for the complications related to the procedure, an understanding of the normal biliary anatomy, its variants and the normal postoperative imaging is essential. ... Subsequent repeat CT with oral contrast and delayed scan 10 min ...