Abstracto

Ultrasonographic frequency of acute cholecystitis in the patients presenting with right hypochondriac pain

Touqeer Hassan*, Ali Raza, M. Hanan Baig, Laraib Shahzad, Aniq Tariq

Background: Acute Cholecystitis (AC) is a potentially painful condition, and prompt diagnosis and treatment are essential to reduce the rate of complications. Clinical history, physical examination, and laboratory analysis do not permit a definitive diagnosis of AC. Therefore, clinicians rely heavily on imaging to establish a diagnosis of AC, identify complications, or suggest an alternative diagnosis. Objective: This study was conducted to find the ultrasonographic frequency of acute cholecystitis in patients presenting with right hypochondriac pain. Methodology: A descriptive observational study conducted at Radiology Department of Shalamar Hospital for right hypochondriacpain. 101 patients of different age groups were enrolled in this convenient sampling technique. All patients with acute abdominal pain were referred to the radiology department to evaluate gallstones. Pregnant females, Patients with cholangiocarcinoma, Patients with nonprimary (metastatic) lesions to the liver, or any other abdominal disease were excluded. UltrasoundToshiba Xario XG with curvilinear probe 3-5 MHZ was used. Results: There were total 101 participants in the study in which 52(51.5%) were males and 49(48.5%) were females. The mean age of males was 44.37 ± 15.88 years, and the mean age of females was 49.76 ± 18.39 years. The age difference was not statistically significant. There is no association between gender and gallbladder thickness. There is no association between gender compared with pericholecystic fluid, distension of gall bladder and sonographic Murphy sign. There were total 101 participants of acute cholecystitis in the study in which 79(78.2%) were males and 22(22.8%) were females. Conclusion: The study concludes that most patients with acute cholecystitis have gallbladder stones. Diagnostic findings include gallbladder wall thickening, pericholecystic fluid, or a sonographic Murphy's sign. There were total 101 participants in the study in which males were high in numbers than female. The mean age of males were low than females.