혈종을 동반한 무결석 출혈성 담낭염: 자기공명영상소견

Acalculous Hemorrhagic Cholecystitis with Chronic Intraluminal Hematoma: MRI Findings

  • Oh, Sang-Young (Department of Radiology, Dankook University Hospital) ;
  • Park, Mi-Hyun (Department of Radiology, Dankook University Hospital) ;
  • Jee, Keum-Nahn (Department of Radiology, Dankook University Hospital) ;
  • Jeon, Gyeong-Sik (Department of Radiology, Dankook University Hospital) ;
  • Kim, Hong-Ja (Department of Internal Medicine, Dankook University Hospital)
  • 발행 : 2009.12.30

초록

무결석 출혈성 담낭염은 높은 사망률을 보이는 급성 담낭염의 드문 합병증이다. 저자는 담낭의 내강에 혈종을 동반한 무결석 출혈성 담남염의 자기공명영상소견을 보고하고자 한다. 자기공명영상에서 팽대된 담낭과 담낭 내강의 혈종이 관찰되었고, 혈종은 T1과 T2강조영상에서 담낭 내강의 저신호강도의 종괴로 보였다. 자기공명영상은 우수한 조직 대조성을 가지므로 출혈성 담낭염에서 담낭내강에 혈종을 검출하는데 유용하다.

Acalculous hemorrhagic cholecystitis is a rare complication of acute cholecystitis and is associated with a high mortality rate. We present a case of acalculous hemorrhagic cholecystitis with hematoma in the gallbladder lumen, which was diagnosed using magnetic resonance imaging (MRI). The T1- & T2-weighted MRI revealed gallbladder distension with a hypointense intraluminal hematoma. The excellent tissue contrast provided by MRI is useful for detecting hematomas in the cases of hemorrhagic cholecystitis.

키워드

참고문헌

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