Role of Ultrasonography in Diagnoses Cholecystitis

Abstract

Ultrasonography is one of the most important and universal accepted modality in the Diagnosis and management of Gallbladder disease . Between marc 2004- December 2005. Ultrasound study for Gallbladder have been done to (180) patient of different epigastric pain- were selected randomly (99) these patient were pathologically proven while the rest (61) were proven by follow up study. The aim of this experimental study was to assess the Role of Ultrasound in the Diagnosis and management of cholecystitis and to mesure the accuracy of these finding using the pathological reports as ground truth. Ultrasound examination of Gallbladder was done for all patient in King Khalid General Hospital in Hafer elbatin in Kingdom of Saudi Arabia-using 2.5 to 5 MHZ sector arrays transducer they were randomized in two groups the first group was those paien with final diagnose of chronic cholecystitis and the other groups- include those patients with final Diagnosis of Acute cholecystits. Ultrasound has been shown to be useful in establishing the Diagnosis of cholecystitis espically used to complement clinical Diagnosis which improve the Diagnostic accurancy. Unfortunately Gallbladder sonography is operater dependent and high-level of skills and expertise wee need it - so the ability to exclude differential Diagnosis of cholecystitise require acknowledgment. correlation of Ultrasound Diagnosis with clinical Diagnosis and other Diagnosis methods. Also we recommend that Ultrasound Preferred to be the first method of choice in scanning patient because its relatively inexpensive and use none ionizing radiation