Document Detail


Acute cholecystitis: diagnostic accuracy of percutaneous aspiration of the gallbladder.
MedLine Citation:
PMID:  3283837     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Results of gallbladder bile aspiration and culture were correlated with presence or absence of acute cholecystitis in 36 patients to test the role of these procedures in hospitalized patients with sepsis. Diagnostic aspiration of the gallbladder was performed in 11 patients, and in the remaining patients a combination of percutaneous aspiration, percutaneous cholecystostomy, or cholecystectomy was used. Bile culture was not helpful in the prediction of acute cholecystitis, since results were not available for a minimum of 24-48 hours after aspiration. In addition, gram-stained smears and bile cultures suffered from low sensitivity (48% and 38%, respectively); consequently, a negative test does not allow the diagnosis of acute cholecystitis to be excluded. Bile aspiration of the gallbladder thus has a limited role in the diagnosis of this condition.
Authors:
J P McGahan; K K Lindfors
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  167     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-06-09     Completed Date:  1988-06-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  669-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, University of California Davis Medical Center, Sacramento 95817.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Bacteria / isolation & purification
Bile / microbiology*
Cholecystitis / diagnosis*,  microbiology,  surgery
Gallbladder
Humans
Suction / methods
Ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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