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Research ArticleOriginal Article
Open Access

Role of computerized tomography in diagnosis of atypical gall bladder and common bile duct stones

Tareq K. El-Husseini and Ibrahim A. Al-Shebrien
Saudi Medical Journal December 2001, 22 (12) 1086-1091;
Tareq K. El-Husseini
Department of Radiology & Medical Imaging, King Fahad Medical Complex, PO Box 946, Dhahran 31932, Kingdom of Saudi Arabia. Tel. +966 (3) 8405525. Fax. +966 (3) 8405555.
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Ibrahim A. Al-Shebrien
Department of Radiology & Medical Imaging, King Fahad Medical Complex, Dhahran, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: To assess the value of computerized tomography as an adjuvant to ultrasound in the diagnosis of atypical gallbladder and common duct stone disease.

METHODS: Real time ultrasound scanning for the gallbladder and common duct was performed in the routine manner. High resolution computerized tomography images were subsequently obtained for the region of interest.

RESULTS: Computerized tomography resolved undetermined results as follows: 1. Non shadowing gallbladder debris (6 points), 2. Focal gallbladder wall thickening (2 points), 3. Stone obscured by calcified gallbladder wall (3 points), 4. Non visualized gallbladder double arc shadow (4 points), 5 and 6. Impacted gallbladder neck and common duct stones (18 points), computerized tomography gave false positive diagnosis in (2 points).

CONCLUSION: Computerized tomography provided an effective and reliable means for the diagnosis of atypical gallbladder calculi when ultrasound was imprecise or the findings contradicted the clinical presentation. Finally if gallbladder neck or common duct stones are suspected, in addition to computerized tomography other imaging techniques such as magnetic resonance cholangio pancreatography or endoscopic retrograde cholangiopancreatography in addition to computerized tomography may be needed to avoid false positive diagnosis prior to surgery.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (12)
Saudi Medical Journal
Vol. 22, Issue 12
1 Dec 2001
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Role of computerized tomography in diagnosis of atypical gall bladder and common bile duct stones
Tareq K. El-Husseini, Ibrahim A. Al-Shebrien
Saudi Medical Journal Dec 2001, 22 (12) 1086-1091;

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Role of computerized tomography in diagnosis of atypical gall bladder and common bile duct stones
Tareq K. El-Husseini, Ibrahim A. Al-Shebrien
Saudi Medical Journal Dec 2001, 22 (12) 1086-1091;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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