Ultrasonografic diagnostic in acute colecystitis

Abstract

Introduction: abdominal ultrasound has a high value for the diagnosis of acute cholecystitis, a disease frequent in women and most often of lithiasic cause. Objective: to characterize the ultrasonographic diagnosis of acute cholecystitis. Method: a descriptive cross-sectional study was carried out in patients undergoing cholecystectomy, previous preoperative ultrasonographic diagnosis; at the Surgical Clinical Hospital "Manuel Ascunce Domenech" of Camagüey from August 2011 to July 2012. The universe was composed of 104 consecutively patients operated, which met the inclusion criteria and signed the consent to participate. Results: the age range was from 15 to 94 years, with an average of 48,32, the age group from 46 to 60 years prevailed and the female sex predominated. The diagnosis of acute cholecystitis was made almost exclusively by the clinical method, laboratory tests and abdominal ultrasound. The most frequent ultrasound finding was the positive Murphy sign followed by thickening with wall edema and vesicular lithiasis. However, respect to pathological anatomy tests, the diagnosis was not always coincident. Conclusions: the coincidence of the clinical and ultrasonographic diagnosis was high. As well as the concomitance between both, with the positive Murphy echographic sign, the thickening and edema of the vesicular wall, which were the most useful signs in the diagnosis