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The clinical importance of a thick-walled, tender gall-bladder without stones on ultrasonography

Ekberg, Olle LU and Weiber, S (1991) In Clinical Radiology 44(1). p.38-41
Abstract
Ultrasound examinations of 563 patients with right upper quadrant pain and a clinical suspicion of acute cholecystitis were reviewed. In 31 patients, a tender, dilated gall-bladder with a thick (more than 4 mm) partly hypoechoic wall without any detectable calculi was found on the emergency examination. This was interpreted as due to acute acalculous cholecystitis. None of the patients was critically ill. Twenty-one of the patients had follow-up studies with either oral cholecystography, cholangiography, or ultrasound. Fourteen of the 21 had gall-bladder calculi while seven did not. These seven patients presumably represent the true frequency (1.2%) of acute acalculous cholecystitis in this clinical setting. In five other patients with an... (More)
Ultrasound examinations of 563 patients with right upper quadrant pain and a clinical suspicion of acute cholecystitis were reviewed. In 31 patients, a tender, dilated gall-bladder with a thick (more than 4 mm) partly hypoechoic wall without any detectable calculi was found on the emergency examination. This was interpreted as due to acute acalculous cholecystitis. None of the patients was critically ill. Twenty-one of the patients had follow-up studies with either oral cholecystography, cholangiography, or ultrasound. Fourteen of the 21 had gall-bladder calculi while seven did not. These seven patients presumably represent the true frequency (1.2%) of acute acalculous cholecystitis in this clinical setting. In five other patients with an initial diagnosis of acute acalculous cholecystitis the gall-bladder wall thickening probably was secondary to concomitant pancreatitis, appendicitis, hepatitis or peptic ulcer disease. A meticulous and careful search for gall-bladder calculi should be performed in the presence of a dilated, tender thick-walled gall-bladder. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Radiology
volume
44
issue
1
pages
38 - 41
publisher
Elsevier
external identifiers
  • pmid:1873951
  • scopus:0025923056
ISSN
1365-229X
DOI
10.1016/S0009-9260(05)80225-9
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200), Medical Radiology Unit (013241410)
id
7ed3bc23-1353-4df8-b351-4b3ecbdae820 (old id 1105818)
date added to LUP
2016-04-01 12:09:23
date last changed
2025-10-14 11:34:40
@article{7ed3bc23-1353-4df8-b351-4b3ecbdae820,
  abstract     = {{Ultrasound examinations of 563 patients with right upper quadrant pain and a clinical suspicion of acute cholecystitis were reviewed. In 31 patients, a tender, dilated gall-bladder with a thick (more than 4 mm) partly hypoechoic wall without any detectable calculi was found on the emergency examination. This was interpreted as due to acute acalculous cholecystitis. None of the patients was critically ill. Twenty-one of the patients had follow-up studies with either oral cholecystography, cholangiography, or ultrasound. Fourteen of the 21 had gall-bladder calculi while seven did not. These seven patients presumably represent the true frequency (1.2%) of acute acalculous cholecystitis in this clinical setting. In five other patients with an initial diagnosis of acute acalculous cholecystitis the gall-bladder wall thickening probably was secondary to concomitant pancreatitis, appendicitis, hepatitis or peptic ulcer disease. A meticulous and careful search for gall-bladder calculi should be performed in the presence of a dilated, tender thick-walled gall-bladder.}},
  author       = {{Ekberg, Olle and Weiber, S}},
  issn         = {{1365-229X}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{38--41}},
  publisher    = {{Elsevier}},
  series       = {{Clinical Radiology}},
  title        = {{The clinical importance of a thick-walled, tender gall-bladder without stones on ultrasonography}},
  url          = {{http://dx.doi.org/10.1016/S0009-9260(05)80225-9}},
  doi          = {{10.1016/S0009-9260(05)80225-9}},
  volume       = {{44}},
  year         = {{1991}},
}