Cholangitis ultrasound: Difference between revisions
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**It is both sensitive and specific in detecting biliary dilatations. | **It is both sensitive and specific in detecting biliary dilatations. | ||
**An US can show biliary dilatations with or without stones and debris material within the [[common bile duct]].<ref name="pmid15256633">{{cite journal |vauthors=Hanbidge AE, Buckler PM, O'Malley ME, Wilson SR |title=From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant |journal=Radiographics |volume=24 |issue=4 |pages=1117–35 |year=2004 |pmid=15256633 |doi=10.1148/rg.244035149 |url=}}</ref> | **An US can show biliary dilatations with or without stones and debris material within the [[common bile duct]].<ref name="pmid15256633">{{cite journal |vauthors=Hanbidge AE, Buckler PM, O'Malley ME, Wilson SR |title=From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant |journal=Radiographics |volume=24 |issue=4 |pages=1117–35 |year=2004 |pmid=15256633 |doi=10.1148/rg.244035149 |url=}}</ref> | ||
***However, biliary dilatations are | ***However, biliary dilatations are not always present at early stages of [[bile duct]] obsctructions, and the performance of an US in indicating [[choledocholithiasis]] is poor.<ref name="pmid16691174">{{cite journal |vauthors=Gallix BP, Aufort S, Pierredon MA, Garibaldi F, Bruel JM |title=[Acute cholangitis: imaging diagnosis and management] |language=French |journal=J Radiol |volume=87 |issue=4 Pt 2 |pages=430–40 |year=2006 |pmid=16691174 |doi= |url=}}</ref> | ||
*For patients who have previously not undergone a [[cholecystectomy]], an US allows doctors to determine the high probability of having choledocholithiasis, even if the stone is not directly visible.<ref name="pmid16691174">{{cite journal |vauthors=Gallix BP, Aufort S, Pierredon MA, Garibaldi F, Bruel JM |title=[Acute cholangitis: imaging diagnosis and management] |language=French |journal=J Radiol |volume=87 |issue=4 Pt 2 |pages=430–40 |year=2006 |pmid=16691174 |doi= |url=}}</ref> | *For patients who have previously not undergone a [[cholecystectomy]], an US allows doctors to determine the high probability of having choledocholithiasis, even if the stone is not directly visible.<ref name="pmid16691174">{{cite journal |vauthors=Gallix BP, Aufort S, Pierredon MA, Garibaldi F, Bruel JM |title=[Acute cholangitis: imaging diagnosis and management] |language=French |journal=J Radiol |volume=87 |issue=4 Pt 2 |pages=430–40 |year=2006 |pmid=16691174 |doi= |url=}}</ref> | ||
*A main finding of ascending cholangitis on an US is the thickening of the [[bile duct]] walls.<ref name="pmid15256633">{{cite journal |vauthors=Hanbidge AE, Buckler PM, O'Malley ME, Wilson SR |title=From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant |journal=Radiographics |volume=24 |issue=4 |pages=1117–35 |year=2004 |pmid=15256633 |doi=10.1148/rg.244035149 |url=}}</ref> | *A main finding of ascending cholangitis on an US is the thickening of the [[bile duct]] walls.<ref name="pmid15256633">{{cite journal |vauthors=Hanbidge AE, Buckler PM, O'Malley ME, Wilson SR |title=From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant |journal=Radiographics |volume=24 |issue=4 |pages=1117–35 |year=2004 |pmid=15256633 |doi=10.1148/rg.244035149 |url=}}</ref> | ||
Revision as of 20:18, 21 September 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
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Overview
Ultrasounds (US) are the primary imaging modality for cholangitis. An US is both sensitive and specific in demonstrating biliary dilatation.
Ultrasound
- Ultrasounds may show dilation of the bile duct and identifies 38% of bile duct stones.[1]
- It is relatively poor at identifying stones further down the bile duct.
- An ultrasound is the primary imaging modality used to access patients with suspected acute cholangitis.[2]
- It is both sensitive and specific in detecting biliary dilatations.
- An US can show biliary dilatations with or without stones and debris material within the common bile duct.[3]
- However, biliary dilatations are not always present at early stages of bile duct obsctructions, and the performance of an US in indicating choledocholithiasis is poor.[2]
- For patients who have previously not undergone a cholecystectomy, an US allows doctors to determine the high probability of having choledocholithiasis, even if the stone is not directly visible.[2]
- A main finding of ascending cholangitis on an US is the thickening of the bile duct walls.[3]
- Ultrasound can help distinguish between cholangitis and cholecystitis (inflammation of the gallbladder), which has similar symptoms to cholangitis, but appears differently on ultrasound.[1]
References
- ↑ 1.0 1.1 Varghese JC, Liddell RP, Farrell MA, Murray FE, Osborne DH, Lee MJ (2000). "Diagnostic accuracy of magnetic resonance cholangiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis". Clin Radiol. 55 (1): 25–35. doi:10.1053/crad.1999.0319. PMID 10650107.
- ↑ 2.0 2.1 2.2 Gallix BP, Aufort S, Pierredon MA, Garibaldi F, Bruel JM (2006). "[Acute cholangitis: imaging diagnosis and management]". J Radiol (in French). 87 (4 Pt 2): 430–40. PMID 16691174.
- ↑ 3.0 3.1 Hanbidge AE, Buckler PM, O'Malley ME, Wilson SR (2004). "From the RSNA refresher courses: imaging evaluation for acute pain in the right upper quadrant". Radiographics. 24 (4): 1117–35. doi:10.1148/rg.244035149. PMID 15256633.