Diagnosis of gallbladder perforation by ultrasound

Mika Shapira-Rootman; Ahmad Mahamid; Nadir Reindorp; Alicia Nachtigal; Abdel Rauf Zeina

doi:10.1016/j.clinimag.2015.05.008

Diagnosis of gallbladder perforation by ultrasound

Mika Shapira-Rootman, Ahmad Mahamid, Nadir Reindorp, Alicia Nachtigal, Abdel Rauf Zeina

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Purpose: The aim of this study was to identify possible pitfalls in the sonographic evaluation of perforated gallbladders. Methods: This is a retrospective analysis of sonograms of 11 patients diagnosed by surgery or pathology with perforated gallbladder. Sonograms were evaluated for multiple sonographic features. Results: Only three patients (27%) were diagnosed correctly with gallbladder perforation by ultrasonography prior to surgery. Gangrenous cholecystitis was reported in 10 cases (90%). Visualization of a wall defect was demonstrated in only five cases (45%) and was associated with a focal echogenic soft-tissue mass. Conclusion: Missed perforations by ultrasound may partially result from technical inadequacies.

Original language	English
Pages (from-to)	827-829
Number of pages	3
Journal	Clinical Imaging
Volume	39
Issue number	5
DOIs	https://doi.org/10.1016/j.clinimag.2015.05.008
State	Published - 1 Sep 2015
Externally published	Yes

Keywords

Cholecystitis
Gallbladder
Gangrenous cholecystitis
Perforation
Ultrasound

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10.1016/j.clinimag.2015.05.008

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title = "Diagnosis of gallbladder perforation by ultrasound",

abstract = "Purpose: The aim of this study was to identify possible pitfalls in the sonographic evaluation of perforated gallbladders. Methods: This is a retrospective analysis of sonograms of 11 patients diagnosed by surgery or pathology with perforated gallbladder. Sonograms were evaluated for multiple sonographic features. Results: Only three patients (27%) were diagnosed correctly with gallbladder perforation by ultrasonography prior to surgery. Gangrenous cholecystitis was reported in 10 cases (90%). Visualization of a wall defect was demonstrated in only five cases (45%) and was associated with a focal echogenic soft-tissue mass. Conclusion: Missed perforations by ultrasound may partially result from technical inadequacies.",

keywords = "Cholecystitis, Gallbladder, Gangrenous cholecystitis, Perforation, Ultrasound",

author = "Mika Shapira-Rootman and Ahmad Mahamid and Nadir Reindorp and Alicia Nachtigal and Zeina, {Abdel Rauf}",

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doi = "10.1016/j.clinimag.2015.05.008",

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T1 - Diagnosis of gallbladder perforation by ultrasound

AU - Shapira-Rootman, Mika

AU - Mahamid, Ahmad

AU - Reindorp, Nadir

AU - Nachtigal, Alicia

AU - Zeina, Abdel Rauf

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Purpose: The aim of this study was to identify possible pitfalls in the sonographic evaluation of perforated gallbladders. Methods: This is a retrospective analysis of sonograms of 11 patients diagnosed by surgery or pathology with perforated gallbladder. Sonograms were evaluated for multiple sonographic features. Results: Only three patients (27%) were diagnosed correctly with gallbladder perforation by ultrasonography prior to surgery. Gangrenous cholecystitis was reported in 10 cases (90%). Visualization of a wall defect was demonstrated in only five cases (45%) and was associated with a focal echogenic soft-tissue mass. Conclusion: Missed perforations by ultrasound may partially result from technical inadequacies.

AB - Purpose: The aim of this study was to identify possible pitfalls in the sonographic evaluation of perforated gallbladders. Methods: This is a retrospective analysis of sonograms of 11 patients diagnosed by surgery or pathology with perforated gallbladder. Sonograms were evaluated for multiple sonographic features. Results: Only three patients (27%) were diagnosed correctly with gallbladder perforation by ultrasonography prior to surgery. Gangrenous cholecystitis was reported in 10 cases (90%). Visualization of a wall defect was demonstrated in only five cases (45%) and was associated with a focal echogenic soft-tissue mass. Conclusion: Missed perforations by ultrasound may partially result from technical inadequacies.

KW - Cholecystitis

KW - Gallbladder

KW - Gangrenous cholecystitis

KW - Perforation

KW - Ultrasound

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JO - Clinical Imaging

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Diagnosis of gallbladder perforation by ultrasound

Abstract

Keywords

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