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Ultrasonographic evaluation of the biliary tree in patients with atypical chest pain

✍ Scribed by William R Reinus; Kevin Shady


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
358 KB
Volume
22
Category
Article
ISSN
0091-2751

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✦ Synopsis


We studied the use of gallbladder ultrasonography in the evaluation of atypical chest pain (ACP). During an &month period, 52 patients were referred for biliary ultrasonography with a chief complaint of chest pain. Twelve (32.1%) had cholelithiasis discovered by ultrasonography. Four of these 12 (33.3%) underwent subsequent cholecystectomy with complete relief of symptoms. None of the patients with normal ultrasonography for whom follow-up was available (32) underwent subsequent cholecystectomy. We found no statistical difference in the prevalence of cholelithiasis between the ACP group and 85 asymptomatic controls. Clinical evidence confirms the concept that ultrasonography may play an important role in the evaluation of ACP.


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## BACKGROUND. Chest computed tomography (CT) often is used to rule out lung metastases in patients with potentially resectable liver metastases from colorectal carcinoma. In the current study the authors evaluated whether CT of the chest was necessary in patients with a negative chest radiograph.