Acute cholecystitis echocardiography and ultrasound: Difference between revisions

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==Overview==
==Overview==
Transabdominal [[ultrasound]] is the gold standard for the diagnosis of acute cholecystitis. Findings on an ultrasound diagnostic of acute cholecystitis include [[Gallbladder wall thickening|thickened gallbladder]], [[gallstones]] or sludge, and pericholecystic fluid.
Transabdominal [[ultrasound]] is the initial test of choice for the diagnosis of acute cholecystitis. Findings on an ultrasound diagnostic of acute cholecystitis include [[Gallbladder wall thickening|thickened gallbladder]], [[gallstones]] or sludge, and pericholecystic fluid.


==Ultrasound==
==Ultrasound==
* Transabdominal [[ultrasonography]] is the '''gold standard''' for the diagnosis of acute cholecystitis and gallstones.<ref name="urlGallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK459171/#article-19448.s5 |title=Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref><ref name="pmid5442405">{{cite journal |vauthors=Foard DE, Haber AH |title=Physiologically normal senescence in seedlings grown without cell division after massive gamma-irradiation of seeds |journal=Radiat. Res. |volume=42 |issue=2 |pages=372–80 |year=1970 |pmid=5442405 |doi= |url=}}</ref><ref name="pmid24679431">{{cite journal |vauthors=Knab LM, Boller AM, Mahvi DM |title=Cholecystitis |journal=Surg. Clin. North Am. |volume=94 |issue=2 |pages=455–70 |year=2014 |pmid=24679431 |doi=10.1016/j.suc.2014.01.005 |url=}}</ref><ref name="pmid28603584">{{cite journal |vauthors=Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF |title=Acute calculous cholecystitis: Review of current best practices |journal=World J Gastrointest Surg |volume=9 |issue=5 |pages=118–126 |year=2017 |pmid=28603584 |pmc=5442405 |doi=10.4240/wjgs.v9.i5.118 |url=}}</ref><ref name="urlImaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR)">{{cite web |url=http://www.ajronline.org/doi/full/10.2214/AJR.10.4340 |title=Imaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR) |format= |work= |accessdate=}}</ref>
* Transabdominal [[ultrasonography]] is the initial test of choice for the diagnosis of acute cholecystitis and gallstones.<ref name="urlGallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK459171/#article-19448.s5 |title=Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf |format= |work= |accessdate=}}</ref><ref name="pmid5442405">{{cite journal |vauthors=Foard DE, Haber AH |title=Physiologically normal senescence in seedlings grown without cell division after massive gamma-irradiation of seeds |journal=Radiat. Res. |volume=42 |issue=2 |pages=372–80 |year=1970 |pmid=5442405 |doi= |url=}}</ref><ref name="pmid24679431">{{cite journal |vauthors=Knab LM, Boller AM, Mahvi DM |title=Cholecystitis |journal=Surg. Clin. North Am. |volume=94 |issue=2 |pages=455–70 |year=2014 |pmid=24679431 |doi=10.1016/j.suc.2014.01.005 |url=}}</ref><ref name="pmid28603584">{{cite journal |vauthors=Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF |title=Acute calculous cholecystitis: Review of current best practices |journal=World J Gastrointest Surg |volume=9 |issue=5 |pages=118–126 |year=2017 |pmid=28603584 |pmc=5442405 |doi=10.4240/wjgs.v9.i5.118 |url=}}</ref><ref name="urlImaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR)">{{cite web |url=http://www.ajronline.org/doi/full/10.2214/AJR.10.4340 |title=Imaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR) |format= |work= |accessdate=}}</ref>
** Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include:
** Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include:
*** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm)
*** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm)

Revision as of 19:02, 27 December 2017

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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

Transabdominal ultrasound is the initial test of choice for the diagnosis of acute cholecystitis. Findings on an ultrasound diagnostic of acute cholecystitis include thickened gallbladder, gallstones or sludge, and pericholecystic fluid.

Ultrasound

  • Transabdominal ultrasonography is the initial test of choice for the diagnosis of acute cholecystitis and gallstones.[1][2][3][4][5]
    • Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include:
    • Acalculous cholecystitis may only show a distended gallbladder

Advantages of ultrasound

  • Advantages of ultrasound include:
    • Noninvasive
    • Quick and readily available
    • Relatively inexpensive

Limitations of ultrasound

  • Limitations of ultrasound include:
    • Poor visualization with intraluminal gas between probe and gallbladder
USG of acute cholecystitis; Red arrow shows gallstone and yellow arrow shows gallblader wall thickening. Case courtesy of Dr Maulik S Patel, Radiopaedia.org, rID: 20542 Source:[6]

References

  1. ↑ "Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf".
  2. ↑ Foard DE, Haber AH (1970). "Physiologically normal senescence in seedlings grown without cell division after massive gamma-irradiation of seeds". Radiat. Res. 42 (2): 372–80. PMID 5442405.
  3. ↑ Knab LM, Boller AM, Mahvi DM (2014). "Cholecystitis". Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.
  4. ↑ Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC, Gomes FC, Corrêa LD, Alves CB, Guimarães SF (2017). "Acute calculous cholecystitis: Review of current best practices". World J Gastrointest Surg. 9 (5): 118–126. doi:10.4240/wjgs.v9.i5.118. PMC 5442405. PMID 28603584.
  5. ↑ "Imaging of Cholecystitis : American Journal of Roentgenology : Vol. 196, No. 4 (AJR)".
  6. ↑ "Acute cholecystitis | Radiology Reference Article | Radiopaedia.org".
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