The Clinical Features, Ultrasonographical and Histopathological Findings in Cholelithiasis
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
This prospective and descriptive study was conducted at the department of General Surgery, A total 100 patients mean age of presentation was 35.23±12.32 years, mean duration of operation was 40.32± 14.96 minutes. Age group of 21-40 (67%) was highly effected. Females (66%) were maximum affected than males(34%). The most common mode of presentation being pain (43%), followed by Nausea(21%), Dyspepsia (17%), Pain + Jaundice(10%) and Pain + Nausea(9%) in decreasing order, patients with palpable gallbladder(16%) had more difficulty in operation. USG thickness >3mm (42%) and single stone(19%) in ultrasound of gallbladder had difficulties in operation with duration of operation >40min. Sensitivity, Specificity, Positive predictive value, Negative predictive value and Diagnostic accuracy of detection of stone in ultrasound were 100%, 98.83%, 93.94%, 100% and 99% respectively. All specimens after operation sent for histopathological examination and found Chronic cholecystitis (74%) is maximum followed by Acutecholecystitis(23%) and Mucocele of gallbladder(3%). Out of 100 laparoscopic cholecystectomy, 5cases were converted to open-cholecystectomy due toadhesions around gallbladder which would not be detected in ultrasound.
Authors and Affiliations
Dr J. Mayur
Keywords
Related Articles
- EP ID EP512331
- DOI -
- Views 44
- Downloads 0
Intracranial Hemorrhage in Dengue Fever: A Case Series
Background- Recently it is seen that clinical profile of atypical presentations in dengue fever is expending and these are being reported more frequently during last decade. Although there are many causes of Intracranial...
Comparison of Abdominal, Vaginal and Non Descent Vaginal Hysterectomy: Perioperative Outcome
Introduction: Hysterectomy is the commonest major gynaecological surgery performed in women. Currently there are three main types of hysterectomy operations –abdominal hysterectomy (AH), vaginal hysterectomy (VH) and non...
A cross-sectional Study of Pathological Findings in Cholecystectomy Specimens
Introduction: Gall bladder diseases are one of the common diseases across the globe including India. These comprise the various congenital malformations, inflammatory lesions, lithiasis and malignant conditions. Inflamma...
Role of serum Vitamin B12 and folic acid in Age related hearing loss
Introduction: Age related hearing loss (ARHL) is a common troublesome disorder of inner ear in elderly. It is characterized by degenerative changes in hair cells leading to slow, insidious, progressive hearing loss. Defi...
Albinism in India; Social Stigma and Undertreated Entity- A Review
Background: Albinism is autosomal recessive pigmentary disorder, characterized by lack of protective melanin, as a result of which albinos are highly susceptible to sun-induced damage to skin.1 Persistent photosensitivit...