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Diagnosis of gallbladder perforation by ultrasound

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

Research output: Contribution to journalArticlepeer-review

12 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 languageEnglish
Pages (from-to)827-829
Number of pages3
JournalClinical Imaging
Volume39
Issue number5
DOIs
StatePublished - 1 Sep 2015
Externally publishedYes

Keywords

  • Cholecystitis
  • Gallbladder
  • Gangrenous cholecystitis
  • Perforation
  • Ultrasound

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