Computed tomography as an adjunct to ultrasound in the diagnosis of acute acalculous cholecystitis

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dc.contributor.author Mindelzun, Robert en_US
dc.contributor.author Wirth, Rob en_US
dc.contributor.author Jeffrey, R. Brooke en_US
dc.contributor.author Francis, Isaac R. en_US
dc.contributor.author Blankenberg, Francis en_US
dc.date.accessioned 2006-09-11T19:49:05Z
dc.date.available 2006-09-11T19:49:05Z
dc.date.issued 1991-12 en_US
dc.identifier.citation Blankenberg, Francis; Wirth, Rob; Jeffrey, R. Brooke; Mindelzun, Robert; Francis, Isaac; (1991). "Computed tomography as an adjunct to ultrasound in the diagnosis of acute acalculous cholecystitis." Gastrointestinal Radiology 16(1): 149-153. <http://hdl.handle.net/2027.42/48138> en_US
dc.identifier.issn 0364-2356 en_US
dc.identifier.issn 1432-0509 en_US
dc.identifier.uri http://hdl.handle.net/2027.42/48138
dc.identifier.uri http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=2016029&dopt=citation en_US
dc.description.abstract The sonographic and computed tomographic (CT) findings were reviewed in 17 patients with acute acalculous cholecystitis (AAC) over a 6-year period from 1984 to 1989. Of the six patients in whom both ultrasound and CT were performed, CT revealed marked gallbladder (GB) wall abnormalities, including perforation, and pericholecystic fluid collections in five patients not demonstrated by sonography. Of the total group, five patients had GB wall thicknesses of ≤ 3 mm (normal) at pathologic examination, which demonstrated a spectrum of disease ranging from acute hemorrhagic/necrotizing, to gangrenous acalculous cholecystitis with perforation. Sonography was falsely negative or significantly underestimated the severity of AAC in seven of the 13 patients examined by sonography. CT because of its superior ability to assess pericholecystic inflammation may provide additional diagnostic information even after a thorough sonographic study in cases of AAC. en_US
dc.format.extent 1084777 bytes
dc.format.extent 3115 bytes
dc.format.mimetype application/pdf
dc.format.mimetype text/plain
dc.language.iso en_US
dc.publisher Springer-Verlag; Springer-Verlag New York Inc. en_US
dc.subject.other Hepatology en_US
dc.subject.other Gastroenterology en_US
dc.subject.other Imaging / Radiology en_US
dc.subject.other Medicine & Public Health en_US
dc.subject.other Gallbladder Wall en_US
dc.subject.other Acute Acalculous Cholecystitis, CT en_US
dc.title Computed tomography as an adjunct to ultrasound in the diagnosis of acute acalculous cholecystitis en_US
dc.type Article en_US
dc.subject.hlbsecondlevel Radiology en_US
dc.subject.hlbsecondlevel Internal Medicine and Specialties en_US
dc.subject.hlbtoplevel Health Sciences en_US
dc.description.peerreviewed Peer Reviewed en_US
dc.contributor.affiliationum Department of Diagnostic Radiology, University of Michigan, Ann Arbor, Michigan, USA en_US
dc.contributor.affiliationother Department of Diagnostic Radiology, Stanford University School of Medicine, 300 Pasteur Drive, 94305, Stanford, CA, USA en_US
dc.contributor.affiliationother Department of Diagnostic Radiology, Stanford University School of Medicine, 300 Pasteur Drive, 94305, Stanford, CA, USA en_US
dc.contributor.affiliationother Department of Diagnostic Radiology, Stanford University School of Medicine, 300 Pasteur Drive, 94305, Stanford, CA, USA en_US
dc.contributor.affiliationother Department of Diagnostic Radiology, Stanford University School of Medicine, 300 Pasteur Drive, 94305, Stanford, CA, USA en_US
dc.contributor.affiliationumcampus Ann Arbor en_US
dc.identifier.pmid 2016029 en_US
dc.description.bitstreamurl http://deepblue.lib.umich.edu/bitstream/2027.42/48138/1/261_2005_Article_BF01887331.pdf en_US
dc.identifier.doi http://dx.doi.org/10.1007/BF01887331 en_US
dc.identifier.source Gastrointestinal Radiology en_US
dc.owningcollname Interdisciplinary and Peer-Reviewed
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