The thickening of the gallbladder wall in patients with ascites is com- monly related to hypoalbuminemia and/or portal hypertension. To evaluate the pathogenetic role of these two factors, we correlated gallbladder wall thickness (GBWT) with the albuminemia and the serum-ascites albumin gradient (SA
The significance of sonographic gallbladder wall thickening
β Scribed by Roger C. Sanders
- Publisher
- John Wiley and Sons
- Year
- 1980
- Tongue
- English
- Weight
- 338 KB
- Volume
- 8
- Category
- Article
- ISSN
- 0091-2751
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β¦ Synopsis
Abstract
The value of gallbladder thickening in predicting the presence of acute cholecystitis was assessed by reviewing gallbladder sonograms for 150 normal patients, 15 fasting normal patients, 24 patients with proven acute cholecystitis, 24 patients with ascites or an alcoholic history, and 50 patients with surgically proven chronic cholecystitis and gallstones. Thickened gallbladder walls were found in all patients with ascites, 45 percent of patients with acute cholecystitis, and approximately 10 percent of those with chronic cholecystitis. The finding of gallbladder wall thickening is suggestive evidence of acute cholecystitis, but it is not a pathognomonic finding.
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