Gallbladder volvulus ultrasound: Difference between revisions
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==Ultrasound== | ==Ultrasound== | ||
Yeh et al have suggested | Yeh et al have suggested some findings on ultrasound which are suggestive of torsion of the [[gallbladder]]:<ref name="pmid2492561">{{cite journal| author=Yeh HC, Weiss MF, Gerson CD| title=Torsion of the gallbladder: the ultrasonographic features. | journal=J Clin Ultrasound | year= 1989 | volume= 17 | issue= 2 | pages= 123-5 | pmid=2492561 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2492561 }} </ref> | ||
* | * Signs of a floating gallbladder, which is when almost the entire gallbladder is located below the [[liver]] and is not in contact with the liver. | ||
* | * Signs of a twisted pedicle. The pedicle represents the combined [[cystic duct]], [[cystic artery]], and vein as well as the mesentery. | ||
* Signs of an inflamed gallbladder( gallbladder wall is diffusely thickened and hypoechoic). | * Signs of an inflamed gallbladder( gallbladder wall is diffusely thickened and hypoechoic). | ||
The thickening | The thickening of the gallbladder wall may not be uniform. The focal thinning (or normal thickness) at the fundal region may indicate | ||
possible perforation | possible perforation or impending perforation in this area. Localized fluid collections around the gallbladder is a suggestive complication. | ||
* Evaluation of blood flow in cystic artery may be done with color doppler<ref name="pmid10552054">{{cite journal| author=Koplewitz BZ, Manson DE, Ein SH| title=Posttraumatic torsion of accessory lobe of the liver and the gallbladder. | journal=Pediatr Radiol | year= 1999 | volume= 29 | issue= 11 | pages= 799-802 | pmid=10552054 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10552054 }} </ref> | * Evaluation of blood flow in the cystic artery may be done with color doppler.<ref name="pmid10552054">{{cite journal| author=Koplewitz BZ, Manson DE, Ein SH| title=Posttraumatic torsion of accessory lobe of the liver and the gallbladder. | journal=Pediatr Radiol | year= 1999 | volume= 29 | issue= 11 | pages= 799-802 | pmid=10552054 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10552054 }} </ref> | ||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Ultrasound
Yeh et al have suggested some findings on ultrasound which are suggestive of torsion of the gallbladder:[1]
- Signs of a floating gallbladder, which is when almost the entire gallbladder is located below the liver and is not in contact with the liver.
- Signs of a twisted pedicle. The pedicle represents the combined cystic duct, cystic artery, and vein as well as the mesentery.
- Signs of an inflamed gallbladder( gallbladder wall is diffusely thickened and hypoechoic).
The thickening of the gallbladder wall may not be uniform. The focal thinning (or normal thickness) at the fundal region may indicate possible perforation or impending perforation in this area. Localized fluid collections around the gallbladder is a suggestive complication.
- Evaluation of blood flow in the cystic artery may be done with color doppler.[2]
References
- ↑ Yeh HC, Weiss MF, Gerson CD (1989). "Torsion of the gallbladder: the ultrasonographic features". J Clin Ultrasound. 17 (2): 123–5. PMID 2492561.
- ↑ Koplewitz BZ, Manson DE, Ein SH (1999). "Posttraumatic torsion of accessory lobe of the liver and the gallbladder". Pediatr Radiol. 29 (11): 799–802. PMID 10552054.