ULTRASOUND FINDINGS OF ACUTE AND CHRONIC CHOLECYSTITIS
Abstract
A retrospective study of ultrasound findings of patients who underwent cholecystectomy with histopathologically proven to be acute or chronic cholecystitis in Trang Hospital were studied from January 2005 to February 2008. There were 26 patients; acute cholecystitis 14 cases and chronic cholecystitis 12 cases. Gallstone were the most frequent sonographic findings of acute and chronic cholecystitis (93% and 83% respectively). Gallbladder distention and diffuse gallbladder wall thickening with anechoic zone were seen more frequent in acute cholecystitis but contracted gallbladder and diffuse gallbladder wall thickening without anechoic zone were seen more frequent in chronic cholecystitis. Complications of acute cholecystitis were found in 50% of cases. Localized thickening of the gallbladder wall that mimicked gallbladder carcinoma were found in 3 cases (25%) of chronic cholecystitis and additional CT scan of upper abdomen were performed in 2 cases. All of the patients with acute cholecystitis were diagnosed by ultrasonography and only 2 cases of the patient with chronic cholecystitis need JAN. - APR. 2008 Volume XIV NumberI CT for further investigation.
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Harvey RT, Miller WT, Jr. Acute biliary disease: initial CT and follow-up US versus initial US and follow-up CT. Radiology 1999; 213: 831-836.
Bennett GL, Balthazar EJ. Ultrasound and CT evaluation of emergent gallbladder pathology. Radiol Clin North Am. 2003; 41: 1203-1216.
Middleton WD. Gallbladder. In: Goldberg BB, eds. Textbook of abdominal ultrasound. Maryland: Williams & Wilkins, 1993; 116-145.
Martinez A, Bona X, Velasco M, et al. Diagnostic accuracy of ultrasound in acute cholecystitis. Gastrointest Radiol 1986; 11: 334-338.
Jeffrey RB, Laing FC, Wong W, et al. Gangrenous cholecystitis: diagnosis by ultrasound. Radiology 1983; 148: 219-221.
Simeone JF, Brink JA, Mueller PR, et al. The sonographic diagnosis of acute gangrenous cholecystitis: importance of the Murphy sign. AJRAm J Roentgenol 1989; 152: 289-290.
Mentzer RM, Jr, Golden GT, Chandler JG, et al. Acomparative appraisal of emphysematous cholecystitis. Am J Surg 1975; 129: 10-15.
Parulekar SG. Sonographic findings in acute emphysematous cholecystitis. Radiology 1982; 145: 117-119.
Grayson DE, Abbott RM, Levy AD, et al. Emphysematous infections of the abdomen and pelvis. RadioGraphics 2002; 22: 543-561.
Kimura K, Fujita N, Noda Y, et al. Localized wall thickening of the gallbladder mimicking aneoplasm. Digestive Endoscopy 2004 ; 16: 54-57.
Finberg HJ, Birnholz JC. Ultrasound evaluation of the gallbladder wall. Radiology 1979; 133: 693-698.
Pandy M, Sood BP, Shukla RC, et al. Carcinoma of the gallbladder : role of sonography in diagnosis and staging. J Clin Ultrasound 2000; 28: 227 - 232.
Soyer P, Gouhiri M, Boudiaf M, et al. Carcinoma of the gallbladder : imaging features with surgical correlation. AJR 1997; 169: 781-785.
Rosenthal SJ, Cox GG, Wetzel LH, et al. Pitfalls and differential diagnosis in biliary sonography. RadioGraphics 1990; 10: 285- 311.
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