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. | |||
==Ultrasound== | ==Ultrasound== | ||
* Transabdominal ultrasonography is the gold standard for the diagnosis of 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> | * 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> | ||
** Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include: | ** Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include: | ||
*** Thickened gallbladder (>4 mm) | *** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm) | ||
*** Gallstones or sludge | *** [[Gallstones]] or sludge | ||
***Pericholecystic fluid | ***Pericholecystic fluid | ||
===Advantages of ultrasound=== | ===Advantages of ultrasound=== | ||
Revision as of 17:43, 18 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 gold standard 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 gold standard for the diagnosis of acute cholecystitis and gallstones.[1][2][3][4]
- Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include:
- Thickened gallbladder (>4 mm)
- Gallstones or sludge
- Pericholecystic fluid
- Findings on an transabdominal ultrasonography diagnostic of acute cholecystitis include:
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
References
- ↑ "Gallbladder, Cholecystitis, Acute - StatPearls - NCBI Bookshelf".
- ↑ 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.
- ↑ 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.
- ↑ 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.