Gallstone disease x ray: Difference between revisions

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==Overview==
==Overview==


An x-ray may be helpful in the diagnosis of gallstone disease. Findings on an [[X-rays|x-ray]] suggestive of gallstones include radioopaque stones within the [[gallbladder]] or [[biliary tree]] including the [[common bile duct]] and [[cystic duct]].  
An x-ray may be helpful in the diagnosis of gallstone disease. Findings on an [[X-rays|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==
==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]].<ref name="pmid3797654">{{cite journal |vauthors=Barakos JA, Ralls PW, Lapin SA, Johnson MB, Radin DR, Colletti PM, Boswell WD, Halls JM |title=Cholelithiasis: evaluation with CT |journal=Radiology |volume=162 |issue=2 |pages=415–8 |year=1987 |pmid=3797654 |doi=10.1148/radiology.162.2.3797654 |url=}}</ref><ref name="pmid21862355">{{cite journal |vauthors=Benarroch-Gampel J, Boyd CA, Sheffield KM, Townsend CM, Riall TS |title=Overuse of CT in patients with complicated gallstone disease |journal=J. Am. Coll. Surg. |volume=213 |issue=4 |pages=524–30 |year=2011 |pmid=21862355 |pmc=3356270 |doi=10.1016/j.jamcollsurg.2011.07.008 |url=}}</ref>
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. The majority of stones are therefore, radiolucent. CT scan sensitivity for gallstones has been estimated to be 55 to 80 percent. Gallstones may be missed on CT because many stones are isodense with [[bile]].<ref name="pmid3797654">{{cite journal |vauthors=Barakos JA, Ralls PW, Lapin SA, Johnson MB, Radin DR, Colletti PM, Boswell WD, Halls JM |title=Cholelithiasis: evaluation with CT |journal=Radiology |volume=162 |issue=2 |pages=415–8 |year=1987 |pmid=3797654 |doi=10.1148/radiology.162.2.3797654 |url=}}</ref><ref name="pmid21862355">{{cite journal |vauthors=Benarroch-Gampel J, Boyd CA, Sheffield KM, Townsend CM, Riall TS |title=Overuse of CT in patients with complicated gallstone disease |journal=J. Am. Coll. Surg. |volume=213 |issue=4 |pages=524–30 |year=2011 |pmid=21862355 |pmc=3356270 |doi=10.1016/j.jamcollsurg.2011.07.008 |url=}}</ref>
*The majority of stones are therefore, radiolucent.
[[Image:t.jpg|thumb|center|500px|Source:wikiradiography, shows radio-opaque gallstones within the gallbladder<ref name="urlGallstones - wikiRadiography">{{cite web |url=http://www.wikiradiography.net/page/Gallstones |title=Gallstones - wikiRadiography |format= |work= |accessdate=}}</ref>]]


[[Image:stonexray.jpg|thumb|center|500px|Source:wikiradiography<ref name="urlGallstones - wikiRadiography">{{cite web |url=http://www.wikiradiography.net/page/Gallstones |title=Gallstones - wikiRadiography |format= |work= |accessdate=}}</ref>]]
====Percutaneous transhepatic cholangiography====
*[[X-rays]] are used to examine the [[liver]] and [[Bile duct|bile ducts]].
*This is accomplished by the insertion of a thin needle through the [[skin]] and into the liver carrying a [[contrast medium]] to help to see blockages in [[liver]] and [[bile ducts]].


[[Image:ptc.jpg|thumb|center|500px|Source: J.Guntau of German Wikipedia, an example of percutaneous transhepatic cholangiography showing the biliary tree. <ref name="urlupload.wikimedia.org">{{cite web |url=https://upload.wikimedia.org/wikipedia/commons/2/25/Perkutan_transhepatische_Cholangiographie.jpg |title=upload.wikimedia.org |format= |work= |accessdate=}}</ref>]]


==References==
==References==
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[[Category: (name of the system)]]
 
[[Category:Gastroenterology]]
[[Category:Hepatology]]
[[Category:Surgery]]
[[Category:Disease]]
[[Category:Radiology]]

Latest revision as of 21:49, 29 July 2020

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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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