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 | |
| State | Published - 1 Sep 2015 |
| Externally published | Yes |
Keywords
- Cholecystitis
- Gallbladder
- Gangrenous cholecystitis
- Perforation
- Ultrasound