ArticleInternal and emergency medicine2016
Update on bedside ultrasound (US) diagnosis of acute cholecystitis (AC).
Article in Internal and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 24 citations in OpenAlex.
- Impact of a POCUS-first versus CT-first approach on emergency department length of stay and time to surgical consultation in patients with acute cholecystitis: a retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Point-of-care ultrasound to diagnose acute cholecystitis in the emergency department: A scoping review.Australasian journal of ultrasound in medicine · 2024Article
- The Incremental Role of Multiorgan Point-of-Care Ultrasounds in the Emergency Setting.International journal of environmental research and public health · 2023Review
- Point-of-Care Abdominal Ultrasonography (POCUS) on the Way to the Right and Rapid Diagnosis.Diagnostics (Basel, Switzerland) · 2022Review
- The Benefits and Barriers of Using Point-of-Care Ultrasound in Primary Healthcare in the United States.Cureus · 2022Review
- Multidetector Computed Tomography (MDCT) Findings of Complications of Acute Cholecystitis. A Pictorial Essay.Tomography (Ann Arbor, Mich.) · 2022Review
- The "Black Pattern", a Simplified Ultrasound Approach to Non-Traumatic Abdominal Emergencies.Tomography (Ann Arbor, Mich.) · 2022Article
- The Use of Bedside Ultrasound for Gallstone Disease Care within a Community-based Emergency Department: A Confirmation Bias.Spartan medical research journal · 2021Article
- Pocket-size ultrasound device in cholelithiasis: diagnostic accuracy and efficacy of short-term training.Internal and emergency medicine · 2018Article
- Emergency Department Bedside Ultrasonography for Diagnosis of Acute Cholecystitis; a Diagnostic Accuracy Study.Emergency (Tehran, Iran) · 2018Article
- Risk factors for gallbladder contractility after cholecystolithotomy in elderly high-risk surgical patients.Clinical interventions in aging · 2017Article
- Utility of Point-of-care Ultrasound in Clinical Care: A Narrative Review.Journal of medical ultrasoundReview
- Guidance for clinical practice using emergency and point-of-care ultrasonography.Acute medicine & surgeryReview
- Point-of-care ultrasound for the acute abdomen in the primary health care.Turkish journal of emergency medicineReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute cholecystitis (AC) represents a principal cause of morbidity worldwide and is one of the most frequent reasons for hospitalization due to gastroenteric tract diseases. AC should be suspected in presence of clinical signs and of gallstones on an imaging study. Upper abdominal US represents the first diagnostic imaging step in the case of suspected AC. Computed tomography (CT) with intravenous contrast (IV) or magnetic resonance imaging (MRI) with gadolinium contrast and technetium hepatobiliary iminodiacetic acid (Tc-HIDA) can be employed to exclude complications. US examination should be performed with right subcostal oblique, with longitudinal and intercostal scans. Normal gallbladder US findings and AC major and minor US signs are described. Polyps, sludge and gallbladder wall thickening represent the more frequent pitfalls and they must be differentiated from stones, duodenal artifacts and many other non-inflammatory conditions that cause wall thickening, respectively. By means of bedside ultrasound, the finding of gallstones in combination with acute pain, when the clinician presses the gallbladder with the US probe (the sonographic Murphy's sign), has a 92.2 % positive predictive value for AC. In our preliminary experience, bedside US-performed by echoscopy (ES) and/or point-of-care US (POCUS) demonstrated good reliability in detecting signs of AC, and was always integrated with physical examination and performed by a skilled operator.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.