Format

Send to

Choose Destination
See comment in PubMed Commons below
Eur J Surg. 1992 Jun-Jul;158(6-7):365-9.

Diagnostic accuracy of ultrasonography and C reactive protein concentration in acute cholecystitis: a prospective clinical study.

Author information

1
Department of Surgery, Oulu University Hospital, Finland.

Abstract

OBJECTIVE:

To assess the value of ultrasonography together with C reactive protein concentration in predicting which patients with acute cholecystitis require immediate operation.

DESIGN:

Prospective study.

SETTING:

Oulu University Hospital, Finland.

SUBJECTS:

129 consecutive patients admitted with suspected acute cholecystitis 1988-89.

MAIN OUTCOME MEASURES:

Correlation of ultrasonographic findings and C reactive protein concentrations with histological findings.

RESULTS:

Ultrasonography correctly classified 86 of 108 patients with acute cholecystitis (79%). When the findings were combined with those of increased concentrations of C reactive protein the accuracy rose to 105 of 108 (97%). Large increases in C reactive protein concentrations were associated with both infected bile and gangrene of the gall bladder.

CONCLUSIONS:

The combination of ultrasonography and measurement of C reactive protein concentration is recommended in the routine investigation of all patients with suspected acute cholecystitis. Serum C reactive protein concentrations should be monitored regularly to select those patients who require emergency operation.

PMID:
1356470
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center