medigraphic.com

2014, Number 4

<< Back Next >>

Anales de Radiología México 2014; 13 (4)

The identification and diagnosis of hydrocholecyst

Motta-Ramírez GA, Martínez-Mendoza NJ, Martínez-Utrera MJ, Vite-Oliver M, Bastida-Alquicira J, Jiménez-Chavarría E

Language: Spanish
References: 27
Page: 346-360
PDF size: 798.67 Kb.


ABSTRACT

Background: lithiasic gallbladder pathology remains very common in Mexico, for which reason we consider it important to reduce morbimortality through timely identification and diagnosis of hydrocholecyst.
Objective: identify factors that may contribute in timely identification and diagnosis of hydrocholecyst and, with this, reduce associated morbidity and mortality.
Material and methods: retrospective transverse analysis of a series of patients admitted to our institution, in a period of 1 year 9 months, in whom hydrocholecyst was proven incidentally.
Results: 50 patients were included, 23 male (44%) and 27 female (56%) in an age range of 15 to 89 years. The largest hydrocholecyst was 14 by 7.7 by 7.3 cm, with volume of 225 cm3. In 40 patients identification of lithiasic obstructive gallbladder compromise or non-lithiasic gallbladder compromise represented the primary finding associated with hydrocholecyst with identification of obstructive neoplastic pathology associated with hydrocholecyst in 6 patients. In 20 patients (40%) the finding of hydrocholecyst with thickening of the wall, without cholelithiasis, supported a diagnosis of non-lithiasic acute cholecystitis or exacerbated non-lithiasic chronic cholecystitis.
Conclusions: in 80% of cases hydrocholecyst was associated with identification of lithiasic obstructive gallbladder compromise or non-lithiasic gallbladder compromise and in 12% represented a finding associated with obstructive neoplastic pathology.


REFERENCES

  1. Jarrell BE, Carabasi RA, Radomsk JS. Hígado, hipertensión portal y vías biliares. En: Jarrell B E, Carabasi RA, Radomsk JS, Radomski JS, editores. NMS Serie médica nacional para el estudio Independiente. Baltimore: McGrawHill; 2005:339-345.

  2. Dodds WJ, Groh WJ, Darweesh RM, Lawson TL, Kishk SM, Kern MK. Sonographic of measurement of the gallbladder volume. AJR 1985;145:1009-1011.

  3. Laing FC. The gallbladder and bile ducts. In: Rumack CM, Wilson SR, Charboneau JW editors. Diagnostic Ultrasound, St. Louis: Mosby 1998;176.

  4. Guía de práctica clínica Diagnóstico y tratamiento de la colecistitis y colelitiasis, México; Instituto Mexicano del Seguro Social, 2009. Disponible en: http://www.saludbcs. gob.mx/PDF/GuiasClinicas/IMSS-237-09_Colecistitis_Colelitiasis/ IMSS-237-09-ColecistitisColelitiasis.pdf

  5. Online slideshare, LinkedIn Corporation © 2014, ¿Y donde está la vesícula biliar? (consultado 2010,Oct.10), Disponible en: http://www.slideshare.net/betomotta/y-donde-estala- vesicula-biliar-267795

  6. Motta-Ramírez GA, Rodríguez-Treviño C. Abordaje diagnóstico por imagen en patología benigna de la vesícula y vías biliares. Cirugía Endoscópica 2010;11(2):71-79.

  7. Ryan S, McNicholas M, Eustace S. Abdomen. En: Marban, editores. Anatomía para el diagnóstico radiológico. Cd. de México: Marban; 2006:177-181.

  8. Federle MlP, Brooke J, Woodward P y cols. Sistema biliar. En: Heap K, Marmorstone J, Harker C y cols. editores. Diagnóstico por imagen, abdomen. España: Amirsys; 2011:III-2:30.

  9. Charles FE, Sampedro-Pereda JM, Mueller-Wust E, Weber Sánchez A. Un caso de hidrocolecisto en un preescolar masculino de 4 años de edad. Acta Médica Grupo Ángeles 2005;3(4):255-257.

  10. Bates J. Pathology of the gallbladder and biliary tree. En: Baxter G, editor. Abdominal ultrasound, how, why and when. Philadelphia: Churchill Livingstone; 2004:41-76.

  11. Santamaría-Aguirre JR, Rodríguez-Wong U, Sámano- García M, y cols. Perforación vesicular secundaria a hidrocolecisto y sepsis grave de origen biliar. Reporte de un caso y revisión de la literatura. Rev Hosp Jua Mex 2009;76(1):40-43.

  12. Schmidt G. Gallbladder. En: Bluth EI editor. Thieme Clinical Companion Ultrasound. New York: Thieme; 2007:334-337.

  13. Salem S. The uterus and adnexa. In: Rumack CM, Wilson SR, Charboneau JW editors. Diagnostic Ultrasound, St. Louis: Mosby 1998;545.

  14. Online slideshare, LinkedIn Corporation © 2014, Imagen en proceso inflamatorios de la encrucijada biliopancreatica (consultado 2010,Oct.10), Disponible en: http://www. slideshare.net/betomotta/imagen-en-procesos-inflamatorios- de-la-encrucijada-biliopancreatica

  15. Online slideshare, LinkedIn Corporation © 2014, Imagenología de las Vías biliares (consultado 2010,Oct.10), Disponible en: http://www.slideshare.net/betomotta/ imagenologia-vias-biliares-7241523?from_search=1

  16. Weber-Sánchez A, García-Benítez CQ, Bravo-Torreblanca C, Garteiz-Martínez D, Carbo-Romano R, Vega-Rivera F et al. Colecistectomía laparoscópica poscesárea por hidrocolecisto. Reporte de un caso. Ginecol Obstet Mex 2011;79(4):230-234.

  17. Strasberg SM. Acute calculous cholecystitis. NEJM 2008;358:2804-11.

  18. Harvey RT and Miller WT Acute biliary disease: Initial CT and follow-up US versus initial US and follow-up CT. Radiology 1999;213:831-836.

  19. Brook OR, Kane RA, Tyagi G, Siewert B, Kruskal JB. Lessons learned from quality assurance: Errors in the diagnosis of acute cholecystitis on ultrasound and CT. AJR 2011;196:597–604.

  20. An C, Park S, Ko S, Park MS, Kim MJ, Kim KW. Usefulness of the tensile gallbladder fundus sign in the diagnosis of early acute cholecystitis. AJR 2013;201:340–346.

  21. Mirvis SE, Vainright JR, Nelson AW, Johnston GS, Shorr R, Rodriguez A, et al. The diagnosis of acute acalculous cholecystitis: a comparison of sonography, scintigraphy, and CT. AJR 1986;147(6):1171–1175.

  22. Castro F, Galindo J, Bejarano M. Complicaciones de colecistitis aguda en pacientes operados de urgencia. Rev Colomb Cir 2008;23(1):16-21.

  23. García-Ayala E, Rodríguez-Rangel DA, Prada-Ascencio NE. Hallazgos Patológicos en colecistectomías realizadas en el Hospital Universitario Ramón González Valencia de Bucaramanga entre 1999 y 2002. Salud UIS 2006;38:108-113.

  24. Bizueto-Rosas H, Hernández-Pérez N, Jaime-Gámiz G. Morbilidad y mortalidad en la cirugía de urgencia de la colecistitis crónica litiásica agudizada. Cir Ciruj 2002;70:82- 85.

  25. Zong L, Chen P, Wang L, He C, Wang G, Jiang J, Wang H. A case of congenital giant gallbladder with massive hydrops mimicking celiac cyst. Oncology Letters 2013;5:226-228.

  26. Kim YK, Kwak HS, Kim CS, Han YM, Jeong TO, Kim IH, et al. CT findings of mild forms or early manifestations of acute cholecystitis. Clin Imaging 2009; 33:274–280

  27. Fitzgerald JEF, White MJ, Lobo DN. Courvoisier’s Gallbladder: Law or sign? World J Surg 2009;33:886–891.




2020     |     www.medigraphic.com