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 journalArticlepeer-review

12 Scopus citations

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 1 1999

Keywords

  • False-negative rate
  • Gallstones
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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