Changes

Jump to navigation Jump to search

Ultrasonography of gallstones

484 bytes added, 14:29, 15 March 2019
→‎Evaluation: More detailed
==Evaluation==
[[File:Ultrasonography of a gallstonesludge and gallstones, annotated.jpg|thumb|150pxUltrasound of biliary sludge, gallstones and borderline thickening of the gallbladder wall (3 mm).]]
*'''Gallbladder''': Gallstones are seen as hyperechoic objects, that leave an acoustic shadow. In case of similarity to a polyp ([[Ultrasonography of gallbladder polyps]]), turn the patient, making gallstones changing position, while polyps remain in the same place.
*'''Related structures''': Also exclude signs of cholecystitis, mainly pericholecystic fluid, edematous pericholecystic fat, gallbladder wall thickening, dilation of the bile duct (see below), and a sonographic Murphy's sign. Further information: [[Ultrasonography of cholecystitis]].:*A '''dilated common bile duct''' is where it measures over 8 mm.<ref name=Lv>{{cite journal|url=https://www.ijntr.org/download_data/IJNTR01080032.pdf|title=Etiological Causes of Intrahepatic and Extrahepatic Bile Duct Dilatation|author=Yunfu Lv, Wan Yee Lau, Haiying Wu, Shunwu Chang, NingLiu, Yejuan Li, Jie Deng|journal=International Journal of New Technology and Research (IJNTR)|volume=1|issue=8|year=2015}}</ref> It is distinguished from the portal vein and hepatic artery by absence of flow on Doppler. ''Further information: '''[[Ultrasonography of dilated bile ducts]]'''
<gallery heights=230 widths=230>
File:Ultrasonography of common bile duct stone, with arrow.jpg|In case of a dilated bile duct, an attempt can be made to follow it to detect visible gallstones therein, such as in this case.
Administrators, Editors, Administrators
3,484

edits

Navigation menu