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Diagnostic accuracy of ultrasound in acute cholecystitis

This work attempts to assess the diagnostic accuracy of ultrasound for acute cholecystitis in 98 clinically suspected patients from the emergency unit in whom at least 3 of 6 relevant criteria are present. Gallbladder distention to 5 cm or more transversely or in the anterior-posterior axis (criterion 1) was present in 64 patients; thickening of the gallbladder wall of at least 5 mm (criterion 2) in 95; cholelithiasis (criterion 3) in 86; sonolucent halo in the gallbladder wall (criterion 4) in 40; sonolucent fluid band surrounding the gallbladder (criterion 5) in 27; and intraluminal echogenic mass with no posterior acoustic shadow (criterion 6) in 35. A diagnostic accuracy index, corrected for chance, was statistically and clinically more relevant with 3 as the minimum number of criteria for the ultrasonic diagnosis of acute cholecystitis.

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1. Department of Diagnostic Radiology, Hospital of Sant Pau, Universidad Autónoma, Avda. S. Antonio M. Claret, 167, 08025, Barcelona, Spain

   Antonio Martínez, Xavier Bona, Martin Velasco & Julio Martín

1. Antonio Martínez
2. Xavier Bona
3. Martin Velasco
4. Julio Martín

Martínez, A., Bona, X., Velasco, M. et al. Diagnostic accuracy of ultrasound in acute cholecystitis. Gastrointest Radiol 11, 334–338 (1986). https://doi.org/10.1007/BF02035103

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• Received: 24 December 1985

• Accepted: 06 February 1986

• Issue Date: January 1986

• DOI: https://doi.org/10.1007/BF02035103

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