Cholecystitis echocardiography or ultrasound: Difference between revisions
Jump to navigation
Jump to search
Created page with "{{CMG}} {{Cholecystitis}} ==Overview== Sonography is a sensitive and specific modality for diagnosis of acute cholecystitis; adjusted sensitivity and specificit..." |
|||
| (2 intermediate revisions by the same user not shown) | |||
| Line 2: | Line 2: | ||
{{Cholecystitis}} | {{Cholecystitis}} | ||
==Overview== | ==Overview== | ||
[[Ultrasound|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 [[gallstone|cholelithiasis]] and sonographic [[Murphy's sign]]. Minor criteria include gallbladder wall thickening greater than 3mm, pericholecystic fluid, and gallbladder dilatation. <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> | [[Ultrasound|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 [[gallstone|cholelithiasis]] and sonographic [[Murphy's sign]]. Minor criteria include gallbladder wall thickening greater than 3mm, pericholecystic fluid, and gallbladder dilatation. <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> | ||
==Ultrasound== | |||
* This is the first test to be done in any suspected case cholecystitis. | |||
* Sonography is the most cost effective, accurate and fast diagnostic modality. | |||
* Sensitivity is reported to be as high as 90-95%. | |||
* Acute calculous cholecystitis is diagnosed radiologically by the presence of | |||
** Thickening of gall bladder (5mm or greater) | |||
** Pericholecystic fluid | |||
** Probe tenderness (ultrasonographic Murphy's sign) | |||
==References== | ==References== | ||
Latest revision as of 11:19, 21 August 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
|
Chronic cholecystitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cholecystitis echocardiography or ultrasound On the Web |
|
American Roentgen Ray Society Images of Cholecystitis echocardiography or ultrasound |
|
Risk calculators and risk factors for Cholecystitis echocardiography or ultrasound |
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 include gallbladder wall thickening greater than 3mm, pericholecystic fluid, and gallbladder dilatation. [1] [2]
Ultrasound
- This is the first test to be done in any suspected case cholecystitis.
- Sonography is the most cost effective, accurate and fast diagnostic modality.
- Sensitivity is reported to be as high as 90-95%.
- Acute calculous cholecystitis is diagnosed radiologically by the presence of
- Thickening of gall bladder (5mm or greater)
- Pericholecystic fluid
- Probe tenderness (ultrasonographic Murphy's sign)
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.