Gallstone disease x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
An x-ray may be helpful in the diagnosis of gallstone disease. Findings on an x-ray suggestive of gallstones include cholesterol and pigment radio-opaque stones found in the gallbladder or biliary tree within the common bile duct or the cystic duct.
X Ray
- Plain abdominal x-rays rarely detect gallstones since only 10% of gallstones contain enough calcium within them to be sufficiently radioopaque and be visible on a radiograph.
- The majority of stones are therefore, radiolucent. CT scan sensitivity for gallstones has been estimated to be 55 - 80%.
- Gallstones may be missed on CT because many stones are isodense with bile.[1][2]
Percutaneous transhepatic cholangiography
- X-rays are used to examine the liver and bile ducts.
- This is accomplished by the insertion of a thin needle through the skin and into the liver carrying a contrast medium to help to see blockages in liver and bile ducts.
References
- ↑ Barakos JA, Ralls PW, Lapin SA, Johnson MB, Radin DR, Colletti PM, Boswell WD, Halls JM (1987). "Cholelithiasis: evaluation with CT". Radiology. 162 (2): 415–8. doi:10.1148/radiology.162.2.3797654. PMID 3797654.
- ↑ Benarroch-Gampel J, Boyd CA, Sheffield KM, Townsend CM, Riall TS (2011). "Overuse of CT in patients with complicated gallstone disease". J. Am. Coll. Surg. 213 (4): 524–30. doi:10.1016/j.jamcollsurg.2011.07.008. PMC 3356270. PMID 21862355.
- ↑ "Gallstones - wikiRadiography".
- ↑ "upload.wikimedia.org".
