A 72-year-old male patient was hospitalized with diffused abdominal pain with worsening renal insufficiency, intermittent vomiting, and a spiking fever. Initial CT scan and sonography showed a dilated gallbladder with a polyp, but no calculi. A gallium scan with SPECT/CT revealed intense gallbladder uptake with a cold central area. Acute gangrenous cholecystitis was suspected as the likely diagnosis and cause of his discomfort and fever. Subsequent cholecystectomy confirmed the diagnosis.
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| http://dx.doi.org/10.1097/RLU.0b013e31829a0183 | DOI Listing |
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