Fuente LM, Catrip TJM

Language: Spanish
References: 18
Page: 122-126
PDF size: 102.24 Kb.

ABSTRACT

Background: Acute alithiasic cholecystitis (AAC) is an infrequent clinical entity with incidence between the 5 and 12% of all the cases of cholecystitis in the adults. Often, the single diagnosis is suspected in delayed form and it is in patients in critical state, by this, early diagnosis is difficult. The ultrasound (USG) is the study of choice for the CAA diagnosis. Objective: Determine the sensibility of USG in patients with CAA, corroborating the image findings with the operative and pathologic, in our hospital population. Method: All the patients operated by the gastrointestinal surgery department at Hospital Especialidades. with diagnosis of AAC between August 2000 and August 2003. Results: 863 patients where operated for acute cholecystitis, 47 presented with CAA (5.4%). 10 patients was excluded because missing pathological or USG data. 81% of all the patients suffered a primary severe disease. In all patients preoperative USG was made, and in 75.6% of patients the diagnosis was correct. The study revealed 87.5% of sensitivity and 99.3% of specificity for the diagnosis of CAA in our hospital population.

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