Chronic cholecystitis diagnostic study of choice: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{chronic cholecystitis}} | {{chronic cholecystitis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MMF}} | ||
== Overview == | == Overview == | ||
[[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]]. | |||
== Diagnostic Study of Choice == | == 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]]. | *[[Cholescintigraphy]] is the '''gold standard''' for the diagnosis of chronic cholecystitis. | ||
* The following result of transabdominal ultrasonography is confirmatory of chronic cholecystitis: | *Transabdominal [[ultrasonography]] is the '''initial study of choice''' for the diagnosis of chronic cholecystitis and [[gallstones]].<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><ref name="Chamarthy-2010">{{Cite journal | last1 = Chamarthy | first1 = M. | last2 = Freeman | first2 = LM. | title = Hepatobiliary scan findings in chronic cholecystitis. | journal = Clin Nucl Med | volume = 35 | issue = 4 | pages = 244-51 | month = Apr | year = 2010 | doi = 10.1097/RLU.0b013e3181d18ef5 | PMID = 20305411 }}</ref> | ||
** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm) | ** The following result of transabdominal ultrasonography is confirmatory of chronic cholecystitis: | ||
** [[Gallstones]] | *** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm) | ||
* The ultrasound should be performed when: | *** [[Gallstones]] | ||
** The patient presents with [[right upper quadrant pain]], [[abdominal guarding]], [[Abdominal pain and fever|fever]], and a positive [[Murphy's sign]]. | ** The ultrasound should be performed when: | ||
*** The patient presents with [[right upper quadrant pain]], [[abdominal guarding]], [[Abdominal pain and fever|fever]], and a positive [[Murphy's sign]]. | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
There are no established criteria for the diagnosis of chronic cholecystitis. | |||
==References== | ==References== | ||
Latest revision as of 16:29, 20 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
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.
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
|month=ignored (help)