RESUMO
The role of real-time ultrasonography was evaluated in 50 randomly selected cases with a strong clinical suspicion of gallbladder diseases and normal oral cholecystogram. Of these, 13(26%) cases showed abnormalities on ultrasonography.
Assuntos
Adolescente , Adulto , Colecistografia , Feminino , Doenças da Vesícula Biliar/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
50 cases, aged between 14-60 years, clinically suspected of gall-bladder and biliary tract diseases were evaluated by ultrasonography and oral cholecystography. Ultrasound with a preliminary radiograph of gallbladder region, proved to be more sensitive and reliable procedure than oral cholecystography. Besides providing ancillary information regarding adjacent anatomic structures, it also guided the surgeon to decide preoperatively about the mode of surgery to be employed. Further, from the present study it can be fairly concluded that ultrasound should be used as the primary screening technique for evaluating gallbladder and biliary tract diseases, after plain skiagram of the gallbladder region, since it is non-invasive, more sensitive than OCG and is devoid of use of contrast media and its toxicity.
Assuntos
Adolescente , Adulto , Doenças Biliares/diagnóstico , Colecistografia , Colelitíase/diagnóstico , Diagnóstico Diferencial , Feminino , Doenças da Vesícula Biliar/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , UltrassonografiaRESUMO
From the present study it can be concluded that both the procedures have their own importance and no one can substitute the other, in diagnosing all the diseases. HSG has been found to be more rewarding in cases of abnormalities of the lumen of uterus and fallopian tubes for their patency. On the other hand laparoscopy has been more rewarding for the abnormalities of the surface of uterus, fallopian tubes and ovaries. It is suggested that in all the cases of infertility both the procedures should be done and the HSG should be done first followed by laparoscopy.
Assuntos
Adolescente , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Histeroscopia , Infertilidade Feminina/diagnóstico , LaparoscopiaRESUMO
Real-time ultrasonography was done in 30 cases of non-visualised gallbladder on oral cholecystography. Surgico-pathological correlation revealed that a specific diagnosis indicating true pathology is possible preoperatively on ultrasonography.