Abstract:
BACKGROUND & OBJECTIVES
Diseases of the gall bladder include wide spectrum of pathologies. Conditions
like cholelithiasis, acute cholecystitis, membranous cholecystitis, present with right
upper quadrant pain other conditions like gall bladder polyp are asymptomatic. In
many cases of carcinoma gall bladder the symptoms manifests very late, when
conservative and curative treatment is not possible. In such conditions the inclusion of
ultrasound abdomen in routine investigation protocol will help in early diagnosis and
initiation of therapy.
SOURCE OF DATA:
The source of data for this study is patients referred to the
DEPARTMENTOFRADIOLOGY AND IMAGING at Shri B.M. Patil Medical
College Hospital and Research center, Bijapur for transabdominal ultrasound.
AIMS AND OBJECTIVES
• To describe sonographic findings in spectrum of gall bladder diseases.
• To discuss the advantages and limitations of ultrasound in diagnosis and
differentiationof gall bladder diseases.
• To correlate clinical diagnosis with ultrasound diagnosis.
• Comparison with CT/MRI where ever possible.
METHODS AND MATERIAL
Patients with gall bladder diseases usually presents with pain in the right
hypochondriac region which may be radiating to the epigastrium or around the lower
ribs or to the back. Evaluation of the gallbladder by ultrasound was performed in
sagittal and transverse planes with low frequencyand high frequency sector probes.To
avoid missing gall bladder pathologies special maneuver such as subcostal oblique
view with the left edge of the transducer more cephalad than the right edge is used.An
attempt to elicit sonological Murphy's signwill be made in order to detect
cholecystitis.
RESULTS
• In a series of 202 cases, majority of the gall bladder diseases includes gall stones.
Among non calculus diseases inflammatory conditions, acute cholecystitiswas
commonest, others include chronic cholecystitis, membranous cholecystitis, polyp,
perforation, adenomyomatosis.
• In our study neoplasms were rare compared to inflammatory conditions of which
malignant were more common than benign.
CONCLUSION
The ultrasound diagnosis in gall bladder diseases had favourable&impressive
results against clinical diagnosis.
