Cholecystosonography for the decision to operate when acute cholecystitis is suspected

Cintora, Ismar; Ben-Ora, Avi; MacNeil, Roy; Gilsdorf, Robert B.

doi:10.1016/0002-9610(79)90303-9

Cited by 17 publications

(1 citation statement)

References 5 publications

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“…The present investigation also agrees with previous reports that ultrasonography contributes significantly to and is a suitable first examination in the management of patients with right upper quadrant pain (1,3,24,30). The limitations should, however, be observed concerning small calculi in the bile ducts and maybe milder forms of inflammation in the gallbladder wall (15,20,26).…”

Section: Discussionsupporting

confidence: 93%

Ultrasonography in the Diagnosis of Acute Cholecystitis

Kurol¹,

Forsberg²

1984

Acta Radiologica. Diagnosis

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Eighty-two patients with right upper quadrant pain and a clinical suggestion of acute cholecystitis had their gallbladder and biliary ducts ultrasonographically examined in the period immediately following admission to the hospital. Biliary calculi or signs of cholecystitis, or both, were found in 65 per cent of the cases at ultrasound examination. An additional 10 per cent had pathologic changes unrelated to the biliary tract. In 44 of 48 cases the presence of calculi or inflammation could be confirmed at surgery, autopsy or endoscopic retrograde cholangiopancreaticography. Only one patient with a normal ultrasound examination was later found to have a small calculus in a common bile duct of normal caliber.

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Section: Discussionsupporting

confidence: 93%

Ultrasonography in the Diagnosis of Acute Cholecystitis

Kurol¹,

Forsberg²

1984

Acta Radiologica. Diagnosis

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Acute Cholecystitis and Common-Duct Calculi

Stryker¹

1983

Arch Surg

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Ultrasonic demonstration of an intraluminal pseudomembrane in the gallbladder: A definitive sign of acute cholecystitis?

Cheong¹,

Khan²,

Armstrong

1989

J of Clinical Ultrasound

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The sonographic features of acute cholecystitis are well do~umented,'-~ but none of these are considered pathognomonic of this Pathologically, ulceration and sloughing of the mucosa occurs in severe inflammation of the gallbladder and this is responsible for the indistinctness of the luminal wall demonstrated sonographically. lo Recently, there have been two reports of intraluminal membranous septa in the gallbladder of patients who were subsequently shown to have acute cholecystitis.113'2 We report a case of acute cholecystitis with intraluminal membranous septa and suggest that this should be considered as a specific sign of acute cholecystitis in the presence of indistinctness of the gallbladder wall. CASE REPORTA 27-year-old woman was admitted with a 14hour history of severe colicky epigstric pain radiating around the sides to the back. Examination revealed tenderness and guarding in the epigastrium.Laboratory investigations revealed a leucocytosis of 18.0 white blood cells per liter, a normal serum amylase level, and normal electrolytes and liver function tests.Ultrasound examination was performed a day later. Several stone-like echoes were seen in the gallbladder. There was a multiseptate appearance of fine nonshadowing strands in the lumen of the gallbladder. In addition, a circumferential irregular membrane was seen separating from From the

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Cholecystosonography for the decision to operate when acute cholecystitis is suspected

Cited by 17 publications

References 5 publications

Ultrasonography in the Diagnosis of Acute Cholecystitis

Ultrasonography in the Diagnosis of Acute Cholecystitis

Acute Cholecystitis and Common-Duct Calculi

Ultrasonic demonstration of an intraluminal pseudomembrane in the gallbladder: A definitive sign of acute cholecystitis?

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