The variation of ultrasonic image of acute inflamation of gall bladder (AIGB) due to bile stone in gall bladder and bile stone in gall bladder combining with bile stone in major bile duct (MBD)

ABSTRACT

At Hospital No175 from 1998 to 2001, the study was conducted on 152 subjects (78 female, 74 male), no statistically significant difference of age, divided into various groups group of due to stone (40 subjects), group of AIGB combining with stenosis of MBD (42 subjects). Two control group comprise of IGB due to stone (36 subjects), group of stenosis of MBD due to stone (34 subjects). In AIGB the dimention of gall bladder (+B) was not enlarged. The variation of this dimention relates to the severity of stenosis of MBD or the shrinkage of the GB. Murphy sign varies according to the severity of stenosis. The signs in internal wall of GB is the main symptoms reflecting the variation of the wall and the condition in GB. Acute damage of the wall of GB does not change sigificantly the ultrasonic sign of chronic inflammation in the wall of GB. For strenthening the accurary of the diagnosis it must not any sign note solitarily but it has to combine 2-3 signs