Sonographic findings in cases of missed gallstones

Kedar N Chintapalli, Abraham A. Ghiatas, Shailendra Chopra, Beatrice Escobar, Christine C. Esola, Gerald D. Dodd

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose. We retrospectively evaluated sonographic findings in 946 cases of gallstones to determine whether the false-negative rate for gallstone detection by sonography has decreased as a result of technologic advances over the past 15 years. Methods. We reviewed preoperative sonographic reports, operative notes, and pathologic reports for 614 women and 332 men (ages 22-78 years) seen over a 2.5-year period and compared sonographic findings with surgical pathologic findings after cholecystectomy. Sonograms for patients whose gallstones were missed on sonography were reviewed by 3 board-certified radiologists. Results. Preoperative sonography of the gallbladder accurately predicted the presence of gallstones in 934 cases (98.7%). Gallstones were not identified by sonography in the remaining 12 cases. In those cases, sonography revealed polyps in 5, sludge in 5, sludge plus a polyp in 1, and neither stones nor polyps in 1. Thus, the false- negative rate was 1.3%. Conclusions. Despite improvements in sonographic technology, detection of small gallstones remains difficult in some cases. Adherent gallstones can mimic gallbladder polyps. Our false-negative rate for detection of gallstones was no different from that in earlier studies.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalJournal of Clinical Ultrasound
Volume27
Issue number3
DOIs
StatePublished - Mar 1999

Fingerprint

Gallstones
sludge
Ultrasonography
Polyps
sonograms
Sewage
Gallbladder
rocks
Cholecystectomy
Technology

Keywords

  • False-negative rate
  • Gallstones
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Cite this

Chintapalli, K. N., Ghiatas, A. A., Chopra, S., Escobar, B., Esola, C. C., & Dodd, G. D. (1999). Sonographic findings in cases of missed gallstones. Journal of Clinical Ultrasound, 27(3), 117-121. https://doi.org/10.1002/(SICI)1097-0096(199903/04)27:3<117::AID-JCU3>3.0.CO;2-U

Sonographic findings in cases of missed gallstones. / Chintapalli, Kedar N; Ghiatas, Abraham A.; Chopra, Shailendra; Escobar, Beatrice; Esola, Christine C.; Dodd, Gerald D.

In: Journal of Clinical Ultrasound, Vol. 27, No. 3, 03.1999, p. 117-121.

Research output: Contribution to journalArticle

Chintapalli, KN, Ghiatas, AA, Chopra, S, Escobar, B, Esola, CC & Dodd, GD 1999, 'Sonographic findings in cases of missed gallstones', Journal of Clinical Ultrasound, vol. 27, no. 3, pp. 117-121. https://doi.org/10.1002/(SICI)1097-0096(199903/04)27:3<117::AID-JCU3>3.0.CO;2-U
Chintapalli, Kedar N ; Ghiatas, Abraham A. ; Chopra, Shailendra ; Escobar, Beatrice ; Esola, Christine C. ; Dodd, Gerald D. / Sonographic findings in cases of missed gallstones. In: Journal of Clinical Ultrasound. 1999 ; Vol. 27, No. 3. pp. 117-121.
@article{565d7fe56d164ddf8ae1be0cd6ec56f1,
title = "Sonographic findings in cases of missed gallstones",
abstract = "Purpose. We retrospectively evaluated sonographic findings in 946 cases of gallstones to determine whether the false-negative rate for gallstone detection by sonography has decreased as a result of technologic advances over the past 15 years. Methods. We reviewed preoperative sonographic reports, operative notes, and pathologic reports for 614 women and 332 men (ages 22-78 years) seen over a 2.5-year period and compared sonographic findings with surgical pathologic findings after cholecystectomy. Sonograms for patients whose gallstones were missed on sonography were reviewed by 3 board-certified radiologists. Results. Preoperative sonography of the gallbladder accurately predicted the presence of gallstones in 934 cases (98.7{\%}). Gallstones were not identified by sonography in the remaining 12 cases. In those cases, sonography revealed polyps in 5, sludge in 5, sludge plus a polyp in 1, and neither stones nor polyps in 1. Thus, the false- negative rate was 1.3{\%}. Conclusions. Despite improvements in sonographic technology, detection of small gallstones remains difficult in some cases. Adherent gallstones can mimic gallbladder polyps. Our false-negative rate for detection of gallstones was no different from that in earlier studies.",
keywords = "False-negative rate, Gallstones, Ultrasonography",
author = "Chintapalli, {Kedar N} and Ghiatas, {Abraham A.} and Shailendra Chopra and Beatrice Escobar and Esola, {Christine C.} and Dodd, {Gerald D.}",
year = "1999",
month = "3",
doi = "10.1002/(SICI)1097-0096(199903/04)27:3<117::AID-JCU3>3.0.CO;2-U",
language = "English (US)",
volume = "27",
pages = "117--121",
journal = "Journal of Clinical Ultrasound",
issn = "0091-2751",
publisher = "John Wiley and Sons Inc.",
number = "3",

}

TY - JOUR

T1 - Sonographic findings in cases of missed gallstones

AU - Chintapalli, Kedar N

AU - Ghiatas, Abraham A.

AU - Chopra, Shailendra

AU - Escobar, Beatrice

AU - Esola, Christine C.

AU - Dodd, Gerald D.

PY - 1999/3

Y1 - 1999/3

N2 - Purpose. We retrospectively evaluated sonographic findings in 946 cases of gallstones to determine whether the false-negative rate for gallstone detection by sonography has decreased as a result of technologic advances over the past 15 years. Methods. We reviewed preoperative sonographic reports, operative notes, and pathologic reports for 614 women and 332 men (ages 22-78 years) seen over a 2.5-year period and compared sonographic findings with surgical pathologic findings after cholecystectomy. Sonograms for patients whose gallstones were missed on sonography were reviewed by 3 board-certified radiologists. Results. Preoperative sonography of the gallbladder accurately predicted the presence of gallstones in 934 cases (98.7%). Gallstones were not identified by sonography in the remaining 12 cases. In those cases, sonography revealed polyps in 5, sludge in 5, sludge plus a polyp in 1, and neither stones nor polyps in 1. Thus, the false- negative rate was 1.3%. Conclusions. Despite improvements in sonographic technology, detection of small gallstones remains difficult in some cases. Adherent gallstones can mimic gallbladder polyps. Our false-negative rate for detection of gallstones was no different from that in earlier studies.

AB - Purpose. We retrospectively evaluated sonographic findings in 946 cases of gallstones to determine whether the false-negative rate for gallstone detection by sonography has decreased as a result of technologic advances over the past 15 years. Methods. We reviewed preoperative sonographic reports, operative notes, and pathologic reports for 614 women and 332 men (ages 22-78 years) seen over a 2.5-year period and compared sonographic findings with surgical pathologic findings after cholecystectomy. Sonograms for patients whose gallstones were missed on sonography were reviewed by 3 board-certified radiologists. Results. Preoperative sonography of the gallbladder accurately predicted the presence of gallstones in 934 cases (98.7%). Gallstones were not identified by sonography in the remaining 12 cases. In those cases, sonography revealed polyps in 5, sludge in 5, sludge plus a polyp in 1, and neither stones nor polyps in 1. Thus, the false- negative rate was 1.3%. Conclusions. Despite improvements in sonographic technology, detection of small gallstones remains difficult in some cases. Adherent gallstones can mimic gallbladder polyps. Our false-negative rate for detection of gallstones was no different from that in earlier studies.

KW - False-negative rate

KW - Gallstones

KW - Ultrasonography

UR - http://www.scopus.com/inward/record.url?scp=0033009190&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033009190&partnerID=8YFLogxK

U2 - 10.1002/(SICI)1097-0096(199903/04)27:3<117::AID-JCU3>3.0.CO;2-U

DO - 10.1002/(SICI)1097-0096(199903/04)27:3<117::AID-JCU3>3.0.CO;2-U

M3 - Article

C2 - 10064408

AN - SCOPUS:0033009190

VL - 27

SP - 117

EP - 121

JO - Journal of Clinical Ultrasound

JF - Journal of Clinical Ultrasound

SN - 0091-2751

IS - 3

ER -