Does the correlation of acute cholecystitis on ultrasound and at surgery reflect a mirror image?

Juliane Bingener, Wayne H. Schwesinger, Shailandra Chopra, Melanie L. Richards, Kenneth R. Sirinek

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

BACKGROUND: It remains unclear if sonography accurately describes the severity of gallstone disease. METHODS: Patients were prospectively enrolled if urgent cholecystectomy was indicated. Two radiologists, blinded to operative findings, evaluated the patients' ultrasound imagings. Laparoscopic cholecystectomy was performed within 48 hours. The operative findings regarding gallbladder wall thickness and inflammation were compared to ultrasound results and histology. RESULTS: Fifty-five patients completed the study. Ultrasound studies exhibited a sensitivity of 60% for the diagnosis of acute cholecystitis compared to the findings at operation and 52% relative to the histologic findings. Specificity for acute cholecystitis diagnosed on ultrasound examination was 77% compared to findings at operation and 71% relative to histologic findings. The correlation coefficient of the wall thickness at ultrasound and surgery was 0.18: 0.24 for ultrasound and histology and 0.5 for surgery and histology. CONCLUSIONS: Ultrasound's ability to predict acute cholecystitis in patients with clinical symptoms appears limited.

Original languageEnglish (US)
Pages (from-to)703-707
Number of pages5
JournalAmerican journal of surgery
Volume188
Issue number6
DOIs
StatePublished - Dec 2004

ASJC Scopus subject areas

  • Surgery

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