Can acute cholecystitis with gallbladder perforation be detected preoperatively by computed tomography in ED?

Tsai, Ming-Jen; Chen, Jen-Dar; Tiu, Chui‐Mei; Chou, Yi‐Hong; Hu, Sheng-Chuan; Chang, Cheng-Yen

doi:10.1016/j.ajem.2008.04.024

Cited by 38 publications

(44 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Less frequent forms include cholecystobiliary fistula and more complex fistula formations. [2,8,10,11] Similar to Derici H. et al (1), in our study type III GB perforations were presented with chronic cholecystitis and symptoms of intestinal obstruction. Cases of intrahepatic perforation of the GB with liver abscess and cholecystohepatic communication has also been reported.…”

Section: Resultssupporting

confidence: 54%

“…[5,7,12] Elderly patients are very susceptible to GB perforation. [12] Tsai et al [2] propose to consider GB perforation particularly in patients who are older than 70 years and have a high segmented neutrophil count >80%.…”

Section: Resultsmentioning

confidence: 99%

“…It has a reported mortality rate of 12%-42%. [2,3] Imaging plays a crucial role in differentiating complicated and uncomplicated acute cholecystitis., [4,5] as signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis. [1,6,7] METHODS It is an observational study done in thirteen (13) patients with Ultrasonographic diagnosis of GB perforation during the year 2012-2015.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Atraumatic Gb Perforation: Appearance at Usg With Surgical Correlation

Borah¹,

Borah²,

Gogoi³

et al. 2015

jemds

View full text Add to dashboard Cite

BACKGROUNDNon-traumatic Gallbladder (GB) perforation is a rare and severe complication of acute cholecystitis and cholelithiasis. This entity requires importance, because of associated high morbidity and mortality rates due to delay in diagnosis and treatment, since signs and symptoms of perforation do not differ significantly from those of uncomplicated cholecystitis. [1] We undertook the study to analyze patients diagnosed preoperatively as GB perforation with pericholecystic abscess or biloma formation on USG and confirmed at surgery.

show abstract

Section: Resultssupporting

confidence: 54%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Atraumatic Gb Perforation: Appearance at Usg With Surgical Correlation

Borah¹,

Borah²,

Gogoi³

et al. 2015

jemds

View full text Add to dashboard Cite

show abstract

“…Indirect indicators include the presence of an abscess outside the gallbladder and the presence of gallstones together with thickening of gallbladder wall. Sensitivity of CT scan in the detection of gallbladder perforation and biliary calculi has been reported to be between 88% and 89% [12]. Magnetic resonance imaging (MRI) may demonstrate the wall of the gallbladder and defects also.…”

Section: Discussionmentioning

confidence: 99%

“…Solva et al [11] showed in their study that distention of gallbladder and edema of its wall may be earliest sign of impending perforation on ultrasonography. Computed tomography (CT) scan is the most sensitive tool to diagnose gallbladder perforation [12]. CT scan finding can be divided into primary gallbladder changes, pericholecystic changes and findings in extra-gallbladder organs.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Perforation of the Gall Bladder: A Case Report

Ashokan¹,

Agrawal

Kumar³

et al. 2012

Int Jour of Biomed Res

View full text Add to dashboard Cite

The main cause of perforation of the gallbladder is cholecystitis with or without cholelithiasis. In old age, spontaneous perforation of gallbladder can be due to decrease in its blood supply, which can be due to atherosclerosis, focal vasospasm or localized vasculitis. Perforation of gallbladder is associated with high morbidity and mortality, if left untreated. Here we report a case of a 60-year-old male with perforation of gallbladder.

show abstract

Improved Detection of Gallbladder Perforation Using Ultrasound Small Vessel Slow Flow “Perfusion” Imaging

Aziz

Robbin

2021

J of Ultrasound Medicine

View full text Add to dashboard Cite

Gallbladder (GB) perforation is a potentially fatal cause of acute abdomen. Higher morbidity and mortality are associated with this entity due to delayed diagnosis and treatment. Ultrasound with color/power Doppler and contrast sonography can detect wall discontinuity; however, sometimes it can be subtle or unavailable. Small vessel slow flow “perfusion” imaging allows improved microvascular perfusion detection using different filters, which result in increased spatial resolution and vessel visualization. Noncontrast perfusion imaging was of immense clinical value in the diagnosis of GB perforation in the six cases presented here. To the best of our knowledge, this is the first case report describing efficacy of noncontrast “perfusion” imaging in detection of GB perforation.

show abstract

Can acute cholecystitis with gallbladder perforation be detected preoperatively by computed tomography in ED?

Cited by 38 publications

References 26 publications

Atraumatic Gb Perforation: Appearance at Usg With Surgical Correlation

Atraumatic Gb Perforation: Appearance at Usg With Surgical Correlation

Spontaneous Perforation of the Gall Bladder: A Case Report

Improved Detection of Gallbladder Perforation Using Ultrasound Small Vessel Slow Flow “Perfusion” Imaging

Contact Info

Product

Resources

About