Abstract

ULTRASOUND FOR THE DIAGNOSIS OF ACUTE CALCULOUS CHOLECYSTITIS

Dr. Ghassan Adnan Dhannoon* and Dr. Haifaa Kadhim Akar

ABSTRACT

Acute cholecystitis is defined as an acute inflammation of the gallbladder wall, regardless of the cause. In the many of cases, the cause is the obstruction of the cystic duct due to an impacted stone in either the neck of the gallbladder or the cystic duct (acute calculous cholecystitis). Acute cholecystitis can develop without associated cholelithiasis (acute acalculous cholecystitis).[1] It is very uncommon that a patient without an history of biliary symptoms, such as colic pain, develop an acute cholecystitis. Approximately < 15% of the patients with cholelithiasis experience clinical symptoms and < 5% an acute cholecystitis.[2] In study done on American population, 25 million have cholelithiasis. In 80% of cases, the cholelithiasis is primarily composed of cholesterol, with pigments, calcium bilirubinate, and calcium carbonate.

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