[Intravenous cholegraphy in acute cholecystitis (author's transl)].
In this prospective study iv-cholegraphy was performed before surgery on 152 patients by whom acute cholecystitis could not be excluded. The examination was diagnostic in 85% of the cases. Most of the patients (20/23) with nonvisualization of the biliary tract by iv-cholegraphy suffered from acute cholecystitis, the others (3/23) from acute pancreatitis. In three false negative examinations the opacification of the gallbladder was weak and in three false positive cases the cystic duct obstruction was caused by a chronic gallbladder disease. Because the preliminary clinical suspicion of acute cholecystitis even when using rigid criteria proved to be false in 30% of the cases, we consider a radiologic clarification to be indicated. Iv-cholegraphy is found to be an important examination in acute cholecystitis, practicable even at small radiologic departments with conventional equipment, and a reliable indicator of cystic duct obstruction.
D000208:Acute Disease; D002764:Cholecystitis / Q000000981:diagnostic imaging*; D002765:Cholecystography / Q000379:methods*; D002908:Chronic Disease; D003287:Contrast Media / Q000008:administration & dosage; D003549:Cystic Duct / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D010195:Pancreatitis / Q000000981:diagnostic imaging
D003287:Contrast Media
Die intravenöse Cholegraphie bei akuter Cholezystitis.