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.
From the Division of Nuclear Medicine, Department of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY.
Received for publication February 20, 2013; revision accepted April 15, 2013.
Conflicts of interest and sources of funding: none declared.
Reprints: Leonard M. Freeman, MD, Division of Nuclear Medicine, Montefiore Medical Center, 111 East 210 St., Bronx, NY 10467. E-mail: email@example.com.