Deb K Boruah1, Shantiranjan Sanyal2, Barun Kumar Sharma3, D R Boruah4. 1. Assistant Professor, Department of Radio-diagnosis, Assam Medical College and Hospital , Dibrugarh, Assam, India . 2. Senior Resident, Department of Radiology, DR. RML Hospital , New Delhi, India . 3. Associate Professor, Department of Radiodiagnosis, Sikkim Manipal Institute of Medical Sciences , Dibrugarh, Assam, India . 4. Consultant, Department of Surgery, Aditya Hospital , Dibrugarh, Assam, India .
Abstract
INTRODUCTION: Gall Bladder (GB) perforation, a rare but dreaded complication of acute cholecystitis and is associated with high mortality rate. Early detection of acute cases of GB perforation reduces the risk of biliary peritonitis and hence the associated mortality and morbidity. AIM: The purpose of the study was to make a comparative evaluation of the role of Cross-sectional imaging in GB perforation with base line investigation like sonography. Finally both modalities were compared in determining the type of perforation according to Niemeier's classification. MATERIALS AND METHODS: We retrospectively evaluated the Ultrasonography (USG), Computed Tomography (CT) and Magnetic Resonance Imagings (MRI) findings in patients of GB perforation with surgical correlation. RESULTS: We evaluated 17 patients of GB perforations over a time period of one year. USG was done in all patients. As cross-sectional modality only CT scan was done in 14 patients and MRI scan was done in four patients. Both CT and MRI scans were done in one patient. CONCLUSION: Cross-sectional imaging must not be delayed in suspected cases of GB perforations because it helps in establishing a quicker diagnosis, detecting complications and also helps in decision making related to management thereby reducing the morbidity and mortality associated with this condition.
INTRODUCTION: Gall Bladder (GB) perforation, a rare but dreaded complication of acute cholecystitis and is associated with high mortality rate. Early detection of acute cases of GB perforation reduces the risk of biliary peritonitis and hence the associated mortality and morbidity. AIM: The purpose of the study was to make a comparative evaluation of the role of Cross-sectional imaging in GB perforation with base line investigation like sonography. Finally both modalities were compared in determining the type of perforation according to Niemeier's classification. MATERIALS AND METHODS: We retrospectively evaluated the Ultrasonography (USG), Computed Tomography (CT) and Magnetic Resonance Imagings (MRI) findings in patients of GB perforation with surgical correlation. RESULTS: We evaluated 17 patients of GB perforations over a time period of one year. USG was done in all patients. As cross-sectional modality only CT scan was done in 14 patients and MRI scan was done in four patients. Both CT and MRI scans were done in one patient. CONCLUSION: Cross-sectional imaging must not be delayed in suspected cases of GB perforations because it helps in establishing a quicker diagnosis, detecting complications and also helps in decision making related to management thereby reducing the morbidity and mortality associated with this condition.
Entities:
Keywords:
Cholecystitis and complications; Morbidity and mortality; Ultrasound
Authors: Adeel R Seyal; Keyur Parekh; Fernanda D Gonzalez-Guindalini; Paul Nikolaidis; Frank H Miller; Vahid Yaghmai Journal: Abdom Imaging Date: 2014-08