Chronic cholecystitis ultrasound: Difference between revisions
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This is the first test to be done in any suspected cases of cholecystitis. Sonography is the fastest, most cost effective, and most accurate diagnostic modality. Sensitivity is reported to be as high as 90-95%.<ref name="Shea">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.</ref><ref name="Fink">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.</ref> | This is the first test to be done in any suspected cases of cholecystitis. Sonography is the fastest, most cost effective, and most accurate diagnostic modality. Sensitivity is reported to be as high as 90-95%.<ref name="Shea">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.</ref><ref name="Fink">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.</ref> | ||
===Chronic Calculous and Acalculous Cholecystitis=== | ===Chronic Calculous and Acalculous Cholecystitis=== |
Revision as of 16:00, 5 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Sonography is a sensitive and specific modality for diagnosis of acute cholecystitis; adjusted sensitivity and specificity for diagnosis of acute cholecystitis are 88% and 80%, respectively. The 2 major diagnostic criteria are cholelithiasis and sonographic Murphy's sign. Minor criteria includes gallbladder wall thickening greater than 3mm, pericholecystic fluid, and gallbladder dilatation.
Ultrasound
This is the first test to be done in any suspected cases of cholecystitis. Sonography is the fastest, most cost effective, and most accurate diagnostic modality. Sensitivity is reported to be as high as 90-95%.[1][2]
Chronic Calculous and Acalculous Cholecystitis
Ultrasound features of chronic cholecystitis can be non specific. Cholelithiasis with contracted or distended but thickened gallbladder and without any pericholecystic inflammation can be the findings.[3]
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.
- ↑ Yun, EJ.; Cho, SG.; Park, S.; Park, SW.; Kim, WH.; Kim, HJ.; Suh, CH. "Gallbladder carcinoma and chronic cholecystitis: differentiation with two-phase spiral CT". Abdom Imaging. 29 (1): 102–8. doi:10.1007/s00261-003-0080-4. PMID 15160762.