Chronic cholecystitis diagnostic study of choice: Difference between revisions
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== 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. 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> | ||
* The following result of transabdominal ultrasonography is confirmatory of chronic cholecystitis: | ** The following result of transabdominal ultrasonography is confirmatory of chronic cholecystitis: | ||
** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm) | *** [[Gallbladder wall thickening|Thickened gallbladder]] (>4 mm) | ||
** [[Gallstones]] | *** [[Gallstones]] | ||
* The ultrasound should be performed when: | ** 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]]. | *** 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. | *There are no established criteria for the diagnosis of chronic cholecystitis. | ||
Revision as of 18:36, 8 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
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)