Advertisement

Cholelithiasis und Cholezystitis

  • Francis S. Weill
Chapter

Zusammenfassung

Die Lithiasis der Gallenblase tritt unter zwei sehr unterschiedlichen sonographischen Bildern auf: Entweder ist die Gallenblase vollkommen mit Steinen angefüllt, oder sie enthält nur ein oder einige wenige Konkremente, die nicht das ganze Lumen beanspruchen. Mit diesem zweiten, häufigeren Fall wollen wir uns zunächst beschäftigen. Zwei Hinweiszeichen, ein direktes und ein indirektes, leiten auf die richtige Fährte.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Abdurahman KE (1982) Sonographic diagnosis of biliary ascariasis. AJR 139: 485–489PubMedGoogle Scholar
  2. Addison NV (1979) The clinical value of ultrasound in biliary tract and pancreatic disease. Ann R Coll Surg Engl 61: 448–451PubMedGoogle Scholar
  3. Barnett E, Morley P (1974) Abdominal echography. Butterworth, Borough GreenGoogle Scholar
  4. Bartrum RJ (1983) Non utility of ultrasound in acute cholecystitis. Radiology in Baden-Baden, Seminary of the universities of Connecticut and Freiburg/Breisgau, Sept 1983Google Scholar
  5. Bartrum RJ, Crow HC, Foote SR (1977) Ultrasonic and radiographic cholecystography. N Engl J Med 296: 538541Google Scholar
  6. Becker JC (1971) Contribution à l’étude tomo-échographique des affections du foie, des voies biliaires et du pancréas. Thesis. University of Besançon, BesançonGoogle Scholar
  7. Berger M, Smith E, Holm HH, Mascatello V (1977) Utility of ultrasound in the differential diagnosis of acute cholecystitis. Arch Surg 112: 273–275PubMedGoogle Scholar
  8. Bergman AB, Neiman HL, Kraut B (1979) Ultrasonic eval- uation of pericholecystic abscesses. AJR 132: 201–203PubMedGoogle Scholar
  9. Birkenfeld L, Otto P (1975) The value of ultrasonic tomography in the diagnosis of the gallbladder (Abstract No 95). Second European Congress, Munich 1975Google Scholar
  10. Blais L, Kunstlinger F, Bokobsa J, Sassoon C, Baussan C, Doyon D (1982) Etude échographique du liquide écho-gène intra-vésiculaire. Signification pathologique à propos de 74 cas. J Radiol 63: 85–90PubMedGoogle Scholar
  11. Blaquiere RM, Dewbury KC (1982) The ultrasound diagnosis of emphysematous cholecystitis. Br J Radiol 55: 114–116PubMedCrossRefGoogle Scholar
  12. Bolondi L, Gandolfi L, Labo G (1979) Ultrasuoni in gastroenterologia. Piccin, PaduaGoogle Scholar
  13. Bruneton JN, Drouillard J, Renson M, Roux P, Bourry J, Lecomte P, Tavernier J (1981) Etude critique des explorations complémentaires non biologiques des voies biliaires avant la décision thérapeutique. J Radiol 62: 409416Google Scholar
  14. Carroll BA, Oppenheimer DA (1982) Sclerosing cholangitis: Sonographic demonstration of bile duct wall thickening. AJR 139: 1016–1018Google Scholar
  15. Cerri GG, Leite GJ, Simoes JB, Da Rocha DJC, Albuquerquer FP, Machado MCC, Magalhaes A (1983) Ultra-sonographic evaluation of ascaris in the biliary tract. Radiology 146: 753–754PubMedGoogle Scholar
  16. Cooperberg PL, Pon MS, Wong P, Stoller JL, Burhenne J (1979) Real time high resolution ultrasound in the detection of biliary calculi. Radiology 131: 789–790PubMedGoogle Scholar
  17. Crow HC, Bartrum RJ (1976) Ultrasound in diagnosis of acute cholecystitis. JAMA 235: 2389PubMedCrossRefGoogle Scholar
  18. Crow HC, Bartrum RJ, Foote SR (1976) Expanded criteria for the ultrasonic diagnosis of gallstones. J Clin Ultrasound 4: 289–292PubMedCrossRefGoogle Scholar
  19. Doust BD, Maklad NF (1974) Ultrasonic B-mode examination of the gallbladder. Techniques and criteria for the diagnosis of gallstones. Radiology 110: 643–647Google Scholar
  20. Eisenscher A, Sauget Y (1980) Aspect ultrasonore des ascaridioses et distomatoses des voies biliaires. J Radiol 61/ 5: 319–322Google Scholar
  21. Engel JM, Deitch EA, Sikkema W (1980) Gallbladder wall thickness: Sonographic accuracy and relation to disease. AJR 134: 907–909Google Scholar
  22. Filly RA, Moss AA, Way LW (1979) In vitro investigation of gallstone shadowing with ultrasound tomography. J Clin Ultrasound 7: 255–262PubMedCrossRefGoogle Scholar
  23. Finberg HJ, Birnholz JC (1979) Ultrasound evaluation of the gallbladder wall. Radiology 133: 693–698PubMedGoogle Scholar
  24. Floyd JL, Collins TL (1983) Discordance of sonography and cholescintigraphy in acute biliary obstruction. AJR 140: 501–502PubMedGoogle Scholar
  25. Frentzel-Beyme B von, Fahndrich R, Arnan-Thiele B (1983) Kann die Sonographie Hinweise auf die chemische Zusammensetzung von Gallensteinen geben? Fortschr Roentgenstr 138: 458–463CrossRefGoogle Scholar
  26. Goldberg BB, Harris K, Broocker W (1974) Ultrasonic and radiographic cholecystography. A comparison. Radiology 111: 405–409Google Scholar
  27. Goldberg BB, Kotler MN, Ziskin MC, Waxham RD (1975) Diagnostic uses of ultrasound. Grune & Stratton, New YorkGoogle Scholar
  28. Gooding GAW (1981) Food particles in the gallbladder mimic cholelithiasis in a patient with a cholecystojejunostomy. J Clin Ultrasound 9: 346–347PubMedCrossRefGoogle Scholar
  29. Gross BH, Harter LP, Gore RM, Callen PW, Filly RA, Shapiro HA, Goldberg HI (1983) Ultrasonic evaluation of common bile duct stones: Prospective comparison with endoscopic retrograde cholangiopancreatography. Radiology 146: 471–474Google Scholar
  30. Hassani N (1976) Ultrasonography of the abdomen. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  31. Herlin P, Jonsson PE, Karp W (1980) Postoperative acute acalculous cholecystitis-an assessment of diagnostic procedures. Gastrointest Radiol 5: 147–149PubMedCrossRefGoogle Scholar
  32. Holm HH, Kristensen JK, Rasmussen SN, Pedersen JF, Hancke S (1980) Abdominal ultrasound, 2nd edn. Munksgaard, CopenhagenGoogle Scholar
  33. Juhel P, Lebon P, Baudesson de Chanville D (1982) L’hémocholécyste: Un piège de l’hypochondre droit. JEMU 3: 151–152Google Scholar
  34. Kane RA (1980) Ultrasonographic diagnosis of gangrenous cholecystitis and empyema of the gallbladder. Radiology 134: 191–194PubMedGoogle Scholar
  35. Kitamura T, Nakagawa F, Kawai S, Morii T, Kiyoanaga G (1971) Ultrasonographic diagnosis of cholestasis. Med Ultrasound 9: 24–26Google Scholar
  36. Krook PM, Allen FH, Bush WH, Malmer G, Maclean MD (1980) Comparison of real-time cholecystosonography and oral cholecystography. Radiology 135: 145–148PubMedGoogle Scholar
  37. Laing FC, Jeffrey RB, Ning VW (1984) AJR 143: 949–952PubMedGoogle Scholar
  38. Lawson TL (1977) Gray-scale cholecystosonography. Diagnostic criteria and accuracy. Radiology 122: 247–251PubMedGoogle Scholar
  39. Leopold GR, Asher WM (1975) Fundamentals of abdominal and pelvic ultrasonography. Saunders, PhiladelphiaGoogle Scholar
  40. Leopold GR, Sokoloff J (1973) Ultrasonic scanning in the diagnosis of biliary disease. Surg Clin North Am 53: 1043–1052PubMedGoogle Scholar
  41. Leopold GR, Amberg J, Gosink BB, Mittelstaedt C (1976) Gray-scale ultrasonic cholecystography. A comparison with conventional radiographic techniques. Radiology 121: 445–448Google Scholar
  42. Lewandowski BJ, Winsberg F (1981) Gallbladder wall thickness distortion by ascites. AJR 137: 519–521PubMedGoogle Scholar
  43. Love MB (1982) Sonographic features of milk of calcium bile. J Ultrasound Med 1: 325–327PubMedGoogle Scholar
  44. Lutz H, Seidl R, Petzold R, Fuchs HF (1975) Gallensteindiagnostik mit Ultraschall. Dtsch Med Wochenschr 100: 1325–1331CrossRefGoogle Scholar
  45. Madrazo BL, Francis I, Hricak H, Sandler MA, Hudak S, Gitschlag K (1982) Sonographic findings in perforation of the gallbladder. AJR 139: 491–496PubMedGoogle Scholar
  46. Marchal GJF, Crolla D, Baert AL, Fevery J, Kerremans R (1978) Gallbladder wall thickening: A new sign of gallbladder disease visualized by gray-scale cholecystosonography. J Clin Ultrasound 6: 177–178Google Scholar
  47. Marchal GJF, Casaer M, Baert AL, Goddeeris PJ, Kerremans R, Fevery J (1979) Gallbladder wall sonolucency in acute cholecystitis. Radiology 133: 429–433PubMedGoogle Scholar
  48. Menu Y, Scherrer A, Nahum H (1982) Cholécystite aigue alithiasique en traumatologie. J Radiol 63: 613–616PubMedGoogle Scholar
  49. Mueller PR, Cronan JJ, Simeone JF, Van Sonnenberg E, Hall DA (1983) Choledocholithiasis: Ultrasonographic caveats. J Ultrasound Med 2: 13–16Google Scholar
  50. Parulekar SG (1982) Sonographic findings in acute em- physematous cholecystitis. Radiology 145: 117–119PubMedGoogle Scholar
  51. Purdom RC, Thomas ST, Kereiakes JG, Spitz HB, Goldenberg NJ, Krugh KB (1980) Ultrasonic properties of biliary calculi. Radiology 136: 729–732PubMedGoogle Scholar
  52. Raskin MM (1978) Hepatobiliary disease: A comparative evaluation by ultrasound and computed tomography. Gastrointest Radiol 3: 267PubMedCrossRefGoogle Scholar
  53. Rettenmaier G (1976) Sonographischer Oberbauchstatus. Aussagefähigkeit and Indikationen der Ultraschall-Schnittbilduntersuchung des Oberbauches. Internist (Berlin) 17: 549–564Google Scholar
  54. Riegg H, Getter B (1975) Sonography or x-ray examination of the gallbladder. Ultrasonics in medicine (Abstract No 96 ). Second European Congress, Munich 1975Google Scholar
  55. Rucin B, Ulrich JL, Durupt B, Valeri J, Bloch J (1979) Valeur diagnostique comparée de la cholécystographie et de l’échographie dans la lihtiase vésiculaire. Communication au Congrès National de la STAUMB, Marseille, Oct 1979Google Scholar
  56. Ruiz R, Teyssou H, Tessier JP (1980) Apport de l’échotomographie dans le diagnostic des hémobilies. A propos d’un cas après ponction biopsie hépatique transpariétale. Ann Radiol 23 /1: 52–55PubMedGoogle Scholar
  57. Sansot M, Vadrot D, Ritano D, Jouve P (1983) Image échographique de cloisonnement vésiculaire. 8 observations. J Radiol 64: 687–692PubMedGoogle Scholar
  58. Schulman A, Loxton AJ, Heydenrych JJ, Abdurahaman KE (1982) Sonographic diagnosis of biliary ascariasis. AJR 139: 485–489PubMedGoogle Scholar
  59. Simeone JF, Mueller PR, Ferrucci JT, Harbin WP, Wittenberg J (1980) Significance of nonshadowing focal opacities at cholecystosonography. Radiology 137: 181–185PubMedGoogle Scholar
  60. Simeone JF, Mueller P, Butch RJ, van Sonnenberg F, Ferrucci JT, Hall DA, Kopans DB, Dawson SL, Wittenberg J, Mc Carthy K (1985) The bile ducts after a fatty meal. Further sonographic observations. Radiology 154: 763–768Google Scholar
  61. Sommer FG, Taylor KJW (1980) Differentiation of acoustic shadowing due to calculi and gas collections. Radiology 135: 399–403PubMedGoogle Scholar
  62. Stoller JL, Cooperberg PL, Simpson WM (1979) Diagnostic ultrasonography in acute cholecystitis. Can J Surg 22: 374–376PubMedGoogle Scholar
  63. Strijk SP, Boetes C, Rosenbusch G (1981) Floating stones in a nonopacified gallbladder: Ultrasonographic sign of gas-containing gallstones. Gastrointest Radiol 6: 261–263Google Scholar
  64. Taylor JW (1979) Diagnostic ultrasound in gastrointestinal disease. Livingstone, EdinburghGoogle Scholar
  65. Triller J, Knutti D (1978) Sonographische Diagnostik der Cholezystopathie. Schweiz Med Wochenschr 108: 380–386PubMedGoogle Scholar
  66. Weill J (1977) Ultrasonographie digestive abdominale. Encycl Med Chir Radiodiagnostic IV, fasc 33506, E 10: 85Google Scholar
  67. Weill F, Gisselbrecht H, Ricatte JP, Kraehenbuhl JR, Schraub S, Becker JC (1971) Diagnostic tomo-échographique des dilatations vésiculaires. Arch Fr Mal App Dig 60: 49–54PubMedGoogle Scholar
  68. Weill F, Becker JC, Kraehenbuhl JR, Heriot G, Walter JP (1973) Atlas clinique de radiographic ultrasonore. Masson, ParisGoogle Scholar
  69. Weill F, Le Mouel A, Bihr E, Rohmer P, Zeltner F, Sauget Y (1980) Le diagnostic ultrasonore des collections intra-péritonéales dans le récessus hépatorénal (ou le récessus spléno-péritonéal): Le signe du croissant de lune. J Radiol 61 /4: 251–256PubMedGoogle Scholar
  70. White M, Simeone JF, Muller PR (1983) Imaging of cholecystocolic fistulas. J Ultrasound Med 2: 181–185PubMedGoogle Scholar
  71. Zeman RK, Lee C, Stahl RS et al. (1982) Ultrasonography and hepatobiliary scintigraphy in the assessment of biliary-enteric anastomoses. Radiology 145: 109–115PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • Francis S. Weill
    • 1
  1. 1.Chaire de Radiodiagnostic, Radiologie AHôpital Jean MinjozBesançonFrance

Personalised recommendations