Is There a Role for Color Doppler Ultrasonography in Acute Cholecystitis?

Authors

  • Iraklis Perysinakis Surgical Department, General Hospital of Rethymnon
  • Anastasia Spartinou Surgical Department, General Hospital of Rethymnon
  • Savvides Maria Surgical Department, General Hospital of Rethymnon
  • Mikela-Rafaella Siligardou Surgical Department, General Hospital of Rethymnon
  • Lysandros Karydakis First Surgical Department, University of Athens Medical School, LAIKO General Hospital, Athens
  • Vladimiros Kyriakidis Surgical Department, General Hospital of Amfissa
  • Vasileios Panaritis Radiology Department, General Hospital of Amfissa
  • Alexandros Kyriakidis Surgical Department, General Hospital of Amfissa

DOI:

https://doi.org/10.5644/ama2006-124.282

Keywords:

Cholecystitis, Pulsatility Index, Color Doppler Sonography, Right Hepatic Artery

Abstract

Objective. The aim of this study was to evaluate the utility of the Pulsatility Index (PI) of the right hepatic artery, measured by color Doppler sonography, in the diagnosis of acute cholecystitis.

Methods. Seventy-five subjects were included in this study and divided into three groups, each consisting of 25 subjects: the cholecystitis group, the asymptomatic cholelithiasis group, and normal controls. Patients with acute cholecystitis fulfilled all the diagnostic criteria as stated in the latest Tokyo Guidelines. In all patients, the right hepatic artery was detected by color Doppler ultrasound and the PI was measured.

Results. Patients with acute cholecystitis were found to have significantly higher PI values compared to both normal controls and cholelithiasis patients. Regression analysis revealed a significant positive correlation between the PI and the cholecystitis outcome.

Conclusion. Measurement of PI by color Doppler ultrasound represents a useful aid in the diagnostic process of acute cholecystitis. More studies are needed before this method is incorporated in the relevant guidelines.

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Gisela Januszewska, née Rosenfeld

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Published

2020-08-01

How to Cite

Perysinakis, I., Spartinou, A., Maria, S., Siligardou, M.-R., Karydakis, L., Kyriakidis, V., Panaritis, V., & Kyriakidis, A. (2020). Is There a Role for Color Doppler Ultrasonography in Acute Cholecystitis?. Acta Medica Academica, 49(1), 44–50. https://doi.org/10.5644/ama2006-124.282

Issue

Vol. 49 No. 1 (2020)

Section

Clinical Science

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