Chronic cholecystitis diagnostic study of choice
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Diagnostic Study of Choice
- Cholescintigraphy is the gold standard for the diagnosis of chronic cholecystitis. Transabdominal ultrasonography is the initial study of choice for the diagnosis of chronic cholecystitis and gallstones.[1] [2][3]
- The following result of transabdominal ultrasonography is confirmatory of chronic cholecystitis:
- Thickened gallbladder (>4 mm)
- Gallstones
- The ultrasound should be performed when:
- The patient presents with right upper quadrant pain, abdominal guarding, fever, and a positive Murphy's sign.
- The following result of transabdominal ultrasonography is confirmatory of chronic cholecystitis:
Diagnostic Criteria
- There are no established criteria for the diagnosis of chronic cholecystitis.
References
- ↑ Shea, JA, Berlin, JA, Escarce, JJ, et al. Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease. Arch Intern Med 1994; 154:2573.
- ↑ Fink-Bennett, D, Freitas, JE, Ripley, SD, Bree, RL. The sensitivity of hepatobiliary imaging and real time ultrasonography in the detection of acute cholecystitis. Arch Surg 1985; 120:904.
- ↑ Chamarthy, M.; Freeman, LM. (2010). "Hepatobiliary scan findings in chronic cholecystitis". Clin Nucl Med. 35 (4): 244–51. doi:10.1097/RLU.0b013e3181d18ef5. PMID 20305411. Unknown parameter
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