Sonographic findings in cases of missed gallstones

Chintapalli, Kedar N.; Ghiatas, Abraham A.; Chopra, Shailendra; Escobar, Beatrice; Esola, Christine C.; Dodd, Gerald D.

doi:10.1002/(sici)1097-0096(199903/04)27:3<117::aid-jcu3>3.0.co;2-u

Cited by 11 publications

(3 citation statements)

References 11 publications

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“…The rate of false-negative sonographic findings when assessing for gallstones is approximately 1%-4%. 3 For instance, small gallstones (<4 mm) or gallstones in the presence of bile sludge or polyps were described in the setting of false-negative sonographic findings. 3 4 Moreover, for select cases of gas-containing gallstones, the only evidence of their existence on diagnostic imaging is the visible pocket of air making diagnosis challenging.…”

Section: Obstructive Cholecystitismentioning

confidence: 99%

Aetiology, diagnosis and management for ischaemic cholecystitis: current perspectives

Favela,

Argo,

Huerta

2023

egastro

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In the absence of gallstones or any other form of mechanical obstruction, hypoperfusion to the gallbladder can lead to inflammation, ischaemia and perforation. This constellation of findings has historically been simply referred to as ‘acalculous cholecystitis’. However, this term makes no distinction between inflammation due to critical illness and poor perfusion, or what we will refer to as ischaemic cholecystitis, versus other non-obstructive aetiologies. Ischaemic cholecystitis presents diagnostic as well as treatment challenges that are unique to patients in the critical care setting. More importantly, the morbidity and mortality of this proposed subcategory of acute gallbladder inflammation is much higher compared with other forms of acute cholecystitis. In the present manuscript, we introduce the concept of ischaemic cholecystitis and the importance of differentiating this clinical diagnosis from other forms of acalculous cholecystitis. Additionally, we elaborate on the most recent diagnostic modalities and treatment options specific to this vulnerable patient population.

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Section: Obstructive Cholecystitismentioning

confidence: 99%

Aetiology, diagnosis and management for ischaemic cholecystitis: current perspectives

Favela,

Argo,

Huerta

2023

egastro

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show abstract

“…Tissue harmonic imaging also increases detection. 72,73 In a study by Chintapelli and colleagues, 74 there was a false-negative rate of 1.3% for ultrasonography detection of stones in patients who went on to cholecystectomy. Missed stones were 5 mm or smaller in 10 patients and less than 1.0 cm in all 12 patients.…”

Section: Gallbladder Causes Of Right Upper Quadrant Pain Cholelithiasismentioning

confidence: 99%

Evaluating Patients with Right Upper Quadrant Pain

Bennett¹

2015

Radiologic Clinics of North America

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“…Fehldiagnosen lagen nur bei 1,7% (Sludge, Polypen; unauffällige Gallenblase 0,1%). (10). Die Verdickung der Gallenblasenwand auf mehr als 4mm erwies sich als wichtiger Prädiktor technischer Schwierigkeiten und der Konversionsrate zur offenen Cholezystektomie bei der laparoskopischen Cholezystektomie (17).…”

Section: Gallenblase/gallenwegeunclassified

Sonographie 2001

Gebel¹

2001

Dtsch med Wochenschr

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Sonographic findings in cases of missed gallstones

Cited by 11 publications

References 11 publications

Aetiology, diagnosis and management for ischaemic cholecystitis: current perspectives

Aetiology, diagnosis and management for ischaemic cholecystitis: current perspectives

Evaluating Patients with Right Upper Quadrant Pain

Sonographie 2001

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