Bergman A B, Neiman H L, Kraut B
AJR Am J Roentgenol. 1979 Feb;132(2):201-3. doi: 10.2214/ajr.132.2.201.
Pericholecystic abscess formation is a serious complication of cholecystitis that develops after gallbladder perforation and is usually associated with acute inflammatory signs and symptoms. Ultrasonographic findings in three surgically proven cases of pericholecystic abscess are reported. The findings ranged from a well defined band of low-level echoes around the gallbladder to multiple, poorly defined hypoechoic masses surrounding an irregular, indistinct gallbladder outline. The former situation correlated with a well encapsulated pericholecystic inflammatory process, while the latter was associated with extensive abscess formation resulting from gallbladder rupture. Cholelithiasis was identified in two of the three cases. Ultrasound for preoperative detection of pericholecystic abscess is discussed.
胆囊周围脓肿形成是胆囊炎的一种严重并发症，发生于胆囊穿孔之后，通常伴有急性炎症体征和症状。本文报告了3例经手术证实的胆囊周围脓肿的超声检查结果。其表现范围从胆囊周围界限清晰的低回声带，到围绕不规则、不清晰胆囊轮廓的多个界限不清的低回声团块。前一种情况与包膜完整的胆囊周围炎症过程相关，而后一种情况则与胆囊破裂导致的广泛脓肿形成有关。3例中有2例发现胆结石。文中还讨论了超声在术前检测胆囊周围脓肿中的应用。
