EUS is necessary for differential diagnosis in patients with Suspicious Gallbladder Wall Lesions

Summary. Objective. To improve the results of treatment of patients with jaundice syndrome by improving the diagnosis quality of obstructive jaundice and improving methods of surgical treatment. Materials and methods. The results of diagnosis and treatment of 272 patients with benign jaundice syndrome admitted to the clinic on an urgent basis from 2010 to 2020 were analyzed. Differential diagnosis of the nature of jaundice and its cause was carried out according to ultrasound and ERCP. Results. Based on the revealed differences in the data of histostructures of the gallbladder wall in patients with acute cholecystitis, hepatitis, and liver cirrhosis, we determined ultrasound criteria for the differential diagnosis of mechanical and parenchymal jaundice. Ultrasound made it possible in a short time to determine the obstructive or parenchymal nature of jaundice by the nature of changes in the liver and the wall of the gallbladder. (Patent № 134089 dated April 25, 2019).In cases of mechanical origin of jaundice, ultrasound data helped to establish its cause and determine the tactics of treatment. Conclusion. 1. Morphological changes in the wall of the gallbladder in patients with acute cholecystitis, hepatitis and liver cirrhosis are qualitatively different from each other. 2. The combination of changes in the liver and the wall of the gallbladder revealed by ultrasound examination makes it possible to differentiate parenchymal and obstructive jaundice with a high degree of reliability.

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Contrast-Enhanced Harmonic Endoscopic Ultrasonography in the Differential Diagnosis of Gallbladder Wall Thickening

Digestive Diseases and Sciences ◽

10.1007/s10620-014-3115-5 ◽

2014 ◽

Vol 59 (8) ◽

pp. 1909-1916 ◽

Cited By ~ 41

Author(s):

Hiroo Imazu ◽

Naoki Mori ◽

Keisuke Kanazawa ◽

Masafumi Chiba ◽

Hirobumi Toyoizumi ◽

...

Keyword(s):

Differential Diagnosis ◽

Endoscopic Ultrasonography ◽

Gallbladder Wall ◽

Wall Thickening ◽

Contrast Enhanced ◽

Gallbladder Wall Thickening

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Emphysematous cholecystitis

Medicinski pregled ◽

10.2298/mpns0212529s ◽

2002 ◽

Vol 55 (11-12) ◽

pp. 529-531 ◽

Cited By ~ 2

Author(s):

Dragos Stojanovic ◽

Djordje Lalosevic ◽

Mirjana Stojanovic ◽

Zorica Caparevic ◽

Marija Djosev ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Hyperbaric Oxygenation ◽

Clinical Status ◽

Gallbladder Wall ◽

Preoperative Preparation ◽

Radiological Findings ◽

Clostridium Species ◽

Basic Principles ◽

Emphysematous Cholecystitis

Introduction Emphysematous cholecystitis is a rare gallbladder pathology characterized by gas accumulation in the gallbladder wall as a result of severe inflammation, mostly caused by bacteria known as Clostridium species. Case report This is a case report of a 59 year-old male diabetic, with typical anamnestic, clinical, ultrasonographic and radiological findings, pointing to acute cholecystitis of emphysematous form. Surgical and bacteriological procedures confirmed the preoperative findings. Conclusion Reliable findings considering clinical status, ultrasonographic and radiological differential diagnosis, adequate and quick preoperative preparation, cholecystectomy and drainage with appropriate antibiotic treatment and hyperbaric oxygenation, represent the basic principles in diagnostics and treatment of this disease.

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