Radiology, Vol 164, 31-35, Copyright © 1987 by Radiological Society of North America

ARTICLES

Striated intramural gallbladder lucencies on US studies: predictors of acute cholecystitis

RH Cohan, BS Mahony, JD Bowie, C Cooper, ME Baker and FF Illescas

Ultrasound scans of 51 consecutive patients with gallbladder wall thickening were reviewed, and specific sonographic features were correlated with surgical and clinical follow-up. Two patterns of thickening were identified as specific indicators of the presence or absence of acute cholecystitis. "Striated" wall thickening, consisting of several alternating, irregular, discontinuous, lucent and echogenic bands, was seen in eight of 13 patients (62%) with acute cholecystitis. This pattern was not encountered in any of the patients who did not have acute cholecystitis. Conversely, "three-layer" thickening, consisting of a single circumferential lucent zone between two relatively uniform echogenic layers, was seen in only one of 13 patients (8%) with acute cholecystitis but in 11 of 38 patients (29%) with other diagnoses. Other abnormalities, including the presence of intramural echogenic foci and wall irregularities, were more frequently seen in patients with acute cholecystitis but were not as helpful. Use of these features may suggest or help exclude a diagnosis of acute cholecystitis in those patients in whom the cause of gallbladder wall thickening is otherwise not apparent.

This article has been cited by other articles:

				G. M. Carbone and R. R. Townsend Sonographic Diagnosis of Gangrenous Cholecystitis Journal of Diagnostic Medical Sonography, January 1, 1999; 15(1): 16 - 18. [Abstract] [PDF]

				C. C. Kuni Patterns of Gallbladder Wall Thickening Journal of Diagnostic Medical Sonography, March 1, 1990; 6(2): 73 - 78. [PDF]