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Diagnosis of gallbladder perforation by ultrasound

      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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