A study of clinical, ultrasonographic and intra-operative findings in acute cholecystitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
90-95% of cases of acute cholecystitis are caused due to gall stones, i.e. calculous cholecystitis. Rest of the 5-10% cases are caused without the presence of stones, i.e. acalculous cholecystitis. Diagnosis of acute cholecystitis involves clinical, laboratory, and radiographic findings. The present study was conducted in the Department of Surgery, Govt. Medical College, Amritsar. A sample size of 50 patients was taken who were diagnosed as cases of acute cholecystitis either clinically or radiologically referred to the department. The aim of the study is to evaluate the accuracy of clinical, ultrasonographic and intra-operative findings in acute cholecystitis. The mean age of presentation was 54.94 years. It was more common in females than males and more common among married females. Abdominal pain was the most common clinical feature present in 90% patients. Vomiting was another common feature present in 80% patients. On USG abdomen, 92% cases had calculous cholecystitis and 8% had acalculous cholecystitis. Intraoperatively, most common finding was adhesions. It was present in 40 patients (95.24%) and increased wall thickness was present in 37 cases (88.09%). It was concluded that the number of patients presenting with acute cholecystitis is increasing because of the increased awareness. With improved healthcare facilities and newer techniques, complications have declined substantially with reduced mortality and morbidity.
Authors and Affiliations
Dr. Sudershan Kapoor, Dr. Ashwani Kumar, Dr. Bal Jaskaran Singh
Keywords
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- EP ID EP421585
- DOI 10.9790/0853-1712015661.
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