Document Detail

Contrast enhanced sonography of the gallbladder: a tool in the diagnosis of cholecystitis?
MedLine Citation:
PMID:  17071039     Owner:  NLM     Status:  MEDLINE    
RATIONALE AND OBJECTIVES: To evaluate if contrast enhanced sonography (CES) can help to detect gallbladder inflammation and differentiate between acute and chronic cholecystitis. MATERIALS AND METHODS: Thirty-three patients with clinical suspicion of acute cholecystitis were examined with CES before cholecystectomy. Thirty patients with no history of gallbladder disease served as control. CES was performed using 2.5 mL SonoVue. A small mechanical index was chosen (0.1). The enhancement pattern of the gallbladder was ranked in a three-point scale: no enhancement, low enhancement and strong enhancement. 28/33 patients underwent surgery. Sonographic findings were compared to histological results. RESULTS: In 16/20 cases with histological proven acute cholecystitis, the gallbladder wall showed a strong enhancement. Low enhancement was found in four patients with acute and in six patients with chronic cholecystitis. The gallbladder wall of two patients with chronic inflammation and all patients (30/30) of the control group showed no enhancement. CONCLUSION: CES is a feasible tool for detecting gallbladder inflammation. Differentiating between acute and chronic cholecystitis seems to be possible.
Boris Adamietz; Evelyn Wenkel; Michael Uder; Thomas Meyer; Ignaz Schneider; Arno Dimmler; Werner Bautz; Rolf Janka
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2006-10-30
Journal Detail:
Title:  European journal of radiology     Volume:  61     ISSN:  0720-048X     ISO Abbreviation:  Eur J Radiol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-19     Completed Date:  2007-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  262-6     Citation Subset:  IM    
Institute of Radiology, University of Erlangen, Maximiliansplatz 1, 91054 Erlangen, Germany.
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MeSH Terms
Acute Disease
Aged, 80 and over
Cholecystitis / pathology,  ultrasonography*
Chronic Disease
Contrast Media*
Gallbladder / pathology,  ultrasonography*
Middle Aged
Ultrasonography / methods
Reg. No./Substance:
0/Contrast Media

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