PMID: 9642954Jun 27, 1998Paper

Ultrasound diagnosis of acute cholecystitis

Khirurgiia
V V Perfil'evL S Kovaleva

Abstract

The results of ultrasonographic examination of the gall-bladder in its acute inflammation in 1070 patients are presented. Parallels between the anatomic changes and ultrasound visual picture of the inflamed wall of the gall-bladder were drawn. The analysis of the results of the examination revealed the most typical symptoms of acute cholecystitis and permitted to differentiate it from similar ultrasonographic symptoms in other diseases of the gall-bladder. From all patients who underwent surgical treatment or diagnostic laparoscopy, the diagnosis was confirmed in 97%. The possibilities of the method in a series of patients after the operation and patients with concomitant diseases are limited, in such cases the punction or drainage of the gall-bladder under the ultrasound scan control for diagnostics and treatment is advisable.

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