Abstract
Purpose
The aim of this study was to identify possible pitfalls in the sonographic evaluation
of perforated gallbladders.
Methods
This is a retrospective analysis of sonograms of 11 patients diagnosed by surgery
or pathology with perforated gallbladder. Sonograms were evaluated for multiple sonographic
features.
Results
Only three patients (27%) were diagnosed correctly with gallbladder perforation by
ultrasonography prior to surgery. Gangrenous cholecystitis was reported in 10 cases
(90%). Visualization of a wall defect was demonstrated in only five cases (45%) and
was associated with a focal echogenic soft-tissue mass.
Conclusion
Missed perforations by ultrasound may partially result from technical inadequacies.
Keywords
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Article info
Publication history
Published online: May 26, 2015
Accepted:
May 13,
2015
Received in revised form:
May 1,
2015
Received:
February 7,
2015
Footnotes
☆Conflict of interest: The authors report no conflicts of interest.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
