Gallstone disease x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

An x-ray may be helpful in the diagnosis of gallstone disease. Findings on an x-ray suggestive of gallstones include cholesterol and pigment radio-opaque stones found in the gallbladder or biliary tree within the common bile duct or the cystic duct.

X Ray

  • Plain abdominal x-rays rarely detect gallstones since only 10% of gallstones contain enough calcium within them to be sufficiently radioopaque and be visible on a radiograph.[1][2]
  • The majority of stones are therefore, radiolucent.
Source:wikiradiography, shows radio-opaque gallstones within the gallbladder[3]

Percutaneous transhepatic cholangiography

Source: J.Guntau of German Wikipedia, an example of percutaneous transhepatic cholangiography showing the biliary tree. [4]

References

  1. Barakos JA, Ralls PW, Lapin SA, Johnson MB, Radin DR, Colletti PM, Boswell WD, Halls JM (1987). "Cholelithiasis: evaluation with CT". Radiology. 162 (2): 415–8. doi:10.1148/radiology.162.2.3797654. PMID 3797654.
  2. Benarroch-Gampel J, Boyd CA, Sheffield KM, Townsend CM, Riall TS (2011). "Overuse of CT in patients with complicated gallstone disease". J. Am. Coll. Surg. 213 (4): 524–30. doi:10.1016/j.jamcollsurg.2011.07.008. PMC 3356270. PMID 21862355.
  3. "Gallstones - wikiRadiography".
  4. "upload.wikimedia.org".

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