Impact of transient hepatic attenuation differences on computed tomography scans in the diagnosis of acute gangrenous cholecystitis.
Adult
Age Factors
Aged
Cholecystectomy
/ methods
Cholecystitis, Acute
/ diagnostic imaging
Cohort Studies
Contrast Media
Databases, Factual
Female
Gangrene
/ diagnostic imaging
Hospitals, University
Humans
Japan
Male
Middle Aged
Multivariate Analysis
Prognosis
ROC Curve
Retrospective Studies
Risk Assessment
Sensitivity and Specificity
Severity of Illness Index
Sex Factors
Tomography, X-Ray Computed
/ methods
Treatment Outcome
Cholecystectomy
Cholecystitis
Gangrene
Helical computed tomography
Liver
Journal
Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982
Titre abrégé: J Hepatobiliary Pancreat Sci
Pays: Japan
ID NLM: 101528587
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
pubmed:
28
5
2019
medline:
29
1
2020
entrez:
25
5
2019
Statut:
ppublish
Résumé
We examined the utility of transient hepatic attenuation differences (THADs) detected in the arterial phase of computed tomography for the diagnosis of acute gangrenous cholecystitis (AGC). We examined 83 consecutive patients who underwent cholecystectomy within 72 h of undergoing three-phase dynamic computed tomography scans for acute cholecystitis between 2009 and 2018 (histopathological examination later confirmed 42 with AGC, 41 without). The THAD volume (cm The THAD volume was significantly larger in the AGC group than in the non-gangrenous acute cholecystitis group (P < 0.0001). The cutoff value of 78 cm Acute gangrenous cholecystitis can be diagnosed using THAD volume, resulting in improved treatment and fewer serious complications.
Sections du résumé
BACKGROUND
BACKGROUND
We examined the utility of transient hepatic attenuation differences (THADs) detected in the arterial phase of computed tomography for the diagnosis of acute gangrenous cholecystitis (AGC).
METHODS
METHODS
We examined 83 consecutive patients who underwent cholecystectomy within 72 h of undergoing three-phase dynamic computed tomography scans for acute cholecystitis between 2009 and 2018 (histopathological examination later confirmed 42 with AGC, 41 without). The THAD volume (cm
RESULTS
RESULTS
The THAD volume was significantly larger in the AGC group than in the non-gangrenous acute cholecystitis group (P < 0.0001). The cutoff value of 78 cm
CONCLUSIONS
CONCLUSIONS
Acute gangrenous cholecystitis can be diagnosed using THAD volume, resulting in improved treatment and fewer serious complications.
Substances chimiques
Contrast Media
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
348-353Subventions
Organisme : Japanese Society for Abdominal Emergency Medicine
Informations de copyright
© 2019 Japanese Society of Hepato-Biliary-Pancreatic Surgery.