Document Detail


Does the correlation of acute cholecystitis on ultrasound and at surgery reflect a mirror image?
MedLine Citation:
PMID:  15619487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: It remains unclear if sonography accurately describes the severity of gallstone disease. METHODS: Patients were prospectively enrolled if urgent cholecystectomy was indicated. Two radiologists, blinded to operative findings, evaluated the patients' ultrasound imagings. Laparoscopic cholecystectomy was performed within 48 hours. The operative findings regarding gallbladder wall thickness and inflammation were compared to ultrasound results and histology. RESULTS: Fifty-five patients completed the study. Ultrasound studies exhibited a sensitivity of 60% for the diagnosis of acute cholecystitis compared to the findings at operation and 52% relative to the histologic findings. Specificity for acute cholecystitis diagnosed on ultrasound examination was 77% compared to findings at operation and 71% relative to histologic findings. The correlation coefficient of the wall thickness at ultrasound and surgery was 0.18: 0.24 for ultrasound and histology and 0.5 for surgery and histology. CONCLUSIONS: Ultrasound's ability to predict acute cholecystitis in patients with clinical symptoms appears limited.
Authors:
Juliane Bingener; Wayne H Schwesinger; Shailandra Chopra; Melanie L Richards; Kenneth R Sirinek
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  188     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-27     Completed Date:  2005-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  703-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of Texas Health Science Center at San Antonio, Mail Code 7842, 7703 Floyd Curl Dr., San Antonio, TX 78229-3900, USA. bingenercas@uthscsa.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cholecystectomy, Laparoscopic / methods*
Cholecystitis, Acute / pathology*,  surgery,  ultrasonography*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Preoperative Care / methods
Prospective Studies
Risk Assessment
Sensitivity and Specificity
Severity of Illness Index
Treatment Outcome
Ultrasonography, Doppler

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


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