Chronically Symptomatic Patients with Undetectable Gall Bladder on Ultrasonography Could Benefit from Early Cholecystectomy
Joint Authors
Adewole, Victoria A.
Blackburn, Simon C.
Mahomed, Anies A.
Adams, Stephen D.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
90 percent of symptomatic patients undergoing cholecystectomy have cholelithiasis with 10% categorized as asymptomatic cholecystitis.
In both instances, the gallbladder is evident on ultrasonography.
In children with symptomatic biliary dyspepsia, the decision to proceed to cholecystectomy is made difficult if choleliths are not seen on ultrasonography.
This decision is made even more difficult if the gallbladder itself is not seen on repeated imaging.
In a cohort of 54 cholecystectomies, 3 cases, with recurrent right upper quadrant pain and undetectable gallbladders on repeat ultrasonography, were identified.
After prolonged observation all underwent successful cholecystectomy.
Histology demonstrated a markedly fibrotic and thickened gallbladder in all.
Given this experience, we suggest that nonvisibility of the gallbladder, in fact, maybe be a feature of a chronic acalculous cholecystitis.
We advise consideration of cholecystectomy for chronic biliary dyspepsia where repeat ultrasonography fails to demonstrate a gallbladder.
American Psychological Association (APA)
Adams, Stephen D.& Blackburn, Simon C.& Adewole, Victoria A.& Mahomed, Anies A.. 2013. Chronically Symptomatic Patients with Undetectable Gall Bladder on Ultrasonography Could Benefit from Early Cholecystectomy. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-486588
Modern Language Association (MLA)
Adams, Stephen D.…[et al.]. Chronically Symptomatic Patients with Undetectable Gall Bladder on Ultrasonography Could Benefit from Early Cholecystectomy. Minimally Invasive Surgery No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-486588
American Medical Association (AMA)
Adams, Stephen D.& Blackburn, Simon C.& Adewole, Victoria A.& Mahomed, Anies A.. Chronically Symptomatic Patients with Undetectable Gall Bladder on Ultrasonography Could Benefit from Early Cholecystectomy. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-486588
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486588