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dc.contributor.authorReyes, Q
dc.contributor.authorMcLeod, RL
dc.contributor.authorFernandes, K
dc.contributor.authorMuralidharan, V
dc.contributor.authorWeinberg, L
dc.date.accessioned2020-12-18T04:18:30Z
dc.date.available2020-12-18T04:18:30Z
dc.date.issued2017-01-01
dc.identifierpii: S2210-2612(17)30222-5
dc.identifier.citationReyes, Q., McLeod, R. L., Fernandes, K., Muralidharan, V. & Weinberg, L. (2017). Magnetic resonance cholangiopancreatography uncovering massive gallbladder mucocele in a patient with ambiguous clinical and laboratory findings: A case report. INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 36, pp.133-135. https://doi.org/10.1016/j.ijscr.2017.04.031.
dc.identifier.issn2210-2612
dc.identifier.urihttp://hdl.handle.net/11343/256138
dc.description.abstractINTRODUCTION: Radiological imaging of the gallbladder is a fundamental aspect of assessing severity of acute cholecystitis in addition to guiding the optimal timing of surgical intervention. We present a case of acute severe cholecystitis with massive gallbladder mucocele initially presenting with equivocal and inconclusive clinical, laboratory, and ultrasound findings. Magnetic resonance cholangiopancreatography allowed accurate evaluation of cholelithiasis and demonstrated a massive gallbladder mucocele. CASE PRESENTATION: A 39-year-old Caucasian female presented with mild right upper quadrant pain coupled with intermittent epigastric discomfort after meals. Diagnostic abdominal ultrasound could not reliably detect cystic or common bile duct stones due to patient obesity and meteorism. Computed tomography was contraindicated due to severe contrast allergy. Magnetic resonance cholangiopancreatography allowed timely, accurate evaluation of cholelithiasis. This subsequently demonstrated a massive gallbladder mucocele requiring urgent laparoscopic cholecystectomy. CONCLUSION: Magnetic resonance cholangiopancreatography should be considered as a complementary imaging modality to assess patients presenting with atypical biliary symptoms, particularly when ultrasound is equivocal or inconclusive, clinical and laboratory findings are non-specific, and computer tomography is contraindicated. Magnetic resonance cholangiopancreatography can also be considered in patients with acute cholecystitis not adherent to a specific severity grade.
dc.languageEnglish
dc.publisherELSEVIER SCI LTD
dc.titleMagnetic resonance cholangiopancreatography uncovering massive gallbladder mucocele in a patient with ambiguous clinical and laboratory findings: A case report
dc.typeJournal Article
dc.identifier.doi10.1016/j.ijscr.2017.04.031
melbourne.affiliation.departmentSurgery (Austin & Northern Health)
melbourne.source.titleInternational Journal of Surgery Case Reports
melbourne.source.volume36
melbourne.source.pages133-135
dc.rights.licenseCC BY-NC-ND
melbourne.elementsid1213733
melbourne.contributor.authorWeinberg, Laurence
melbourne.contributor.authorMuralidharan, Vijayaragavan
dc.identifier.eissn2210-2612
melbourne.accessrightsOpen Access


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