Samovsky M, Loberant N
Department of Radiology, Western Galilee Hospital, 22100 Nahariya, Israel.
J Clin Ultrasound. 2001 Nov-Dec;29(9):513-6. doi: 10.1002/jcu.10018.
We assessed the postprandial sonographic findings in patients with cholelithiasis whose gallbladders were completely contracted after fasting.
The gallbladders of 5 patients with recurrent abdominal pain were completely contracted despite overnight fasting and could not be adequately examined on sonography. The patients were given a fatty meal and re-examined after 30 minutes.
In all patients, the gallbladder became distended after the meal, and gallstones were clearly demonstrated.
Patients whose gallbladders are completely contracted after overnight fasting and cannot be adequately evaluated on sonography should be given a fatty meal and re-examined sonographically. This technique is efficient in preventing unnecessary additional patient visits for the evaluation of cholelithiasis.
我们评估了胆结石患者在空腹后胆囊完全收缩状态下的餐后超声检查结果。
5例反复腹痛患者的胆囊尽管经过一夜禁食仍完全收缩，超声检查无法充分评估。给这些患者进食油腻餐，30分钟后再次检查。
所有患者餐后胆囊均扩张，胆结石清晰显示。
对于空腹后胆囊完全收缩且超声检查无法充分评估的患者，应给予油腻餐并再次进行超声检查。该技术能有效避免因胆结石评估而让患者进行不必要的额外就诊。
