The Acute Abdomen

Gore, Richard M.; Thakrar, Kiran H.; Wenzke, Daniel R.; Silvers, Robert I.; Mehta, Uday K.; Newmark, Geraldine M.; Berlin, Jonathan W.

doi:10.1016/b978-1-4557-5117-4.00124-0

Cited by 2 publications

(1 citation statement)

References 87 publications

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“…In this study, cholecystitis was confirmed in 30% of patients presenting with RUQ pain, which is consistent with findings from previous studies 34,35 . The sonographic Murphy sign, changes in the gallbladder wall, and presence of cholelithiasis were the most favorable sonographic findings for suspected cholecystitis, as reported in the literature 36 .…”

Section: Discussionsupporting

confidence: 92%

Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service

Tavares

Lobo

Figueiredo

et al. 2023

Health Science Reports

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Background and Aims The use of ultrasound screening is primarily facilitated by point‐of‐care ultrasound (POCUS) and its integration into healthcare systems is a result of the versatility of this imaging technique. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with that of radiologists at referral hospital (RH) in Portugal. Methods Twenty patients with right upper quadrant (RUQ) pain and suspected cholecystitis or biliary pathology underwent sonography screening using POCUS in the BES. They were then forwarded to the RH where a radiologist performed a conventional ultrasound exam on the same patients. The results of both exams were compared to determine if the findings obtained in the BES were confirmed by the radiologist in the RH. Results In our sample, 60% of cases were related to biliary pathology, 20% were liver‐related, 10% had hepatopancreatic biliary etiology, and 10% had unknown etiology. A strong association between the sonographic findings in the BES and the RH was found in the variables “Sonographic Murphy sign” ( V = 0.859; p = 0.001), “Cholelithiasis/Gallbladder sludge” ( V = 0.840; p = 0.001), and “Intrahepatic biliary tract dilatation” ( V = 0.717; p = 0.006). Adequate measures of agreement between the findings of the radiographer and radiologist were obtained for the “Sonographic Murphy sign” ( k = 0.664; p = 0.001) and the presence of “Cholelithiasis/Gallbladder sludge” ( k = 0.712; p = 0.000). Conclusion Major biliary abnormalities were detected in patients with RUQ pain in BES using sonography. The correlation between the sonographic findings obtained by the sonographers at BES and those obtained by radiologists at the RH in Portugal was strong, showing that POCUS screening could be extended to other similar settings; however, more studies are needed.

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Section: Discussionsupporting

confidence: 92%