Department of Internal Medicine, LKH Graz West, Graz, Austria.
Am J Emerg Med. 2012 Mar;30(3):516.e5-6. doi: 10.1016/j.ajem.2011.01.020. Epub 2011 Mar 29.
We present the case of a patient with abdominal pain, in which gallbladder perforation was detected by contrast-enhanced ultrasound. A 90-year-old patient presented to the emergency department with a complaint of acute abdominal pain and vomiting. An abdominal ultrasound revealed a thickened gallbladder wall and small amounts of perihepatic fluid. Because these findings were suspicious for gallbladder perforation and contrast-enhanced computed tomography could not be performed because of a history of monoclonal gammopathy, a contrast-enhanced ultrasound scan was performed. After the administration of 2.5 mL of SonoVue (Bracco, Milan, Italy), a defect of the gallbladder wall was detected. The patient underwent laparotomy, on which the diagnosis of gallbladder perforation was confirmed.
我们报告 1 例腹痛患者，经增强超声检查发现胆囊穿孔。1 例 90 岁女性因急性腹痛和呕吐就诊于急诊科。腹部超声显示胆囊壁增厚，肝周少量积液。这些发现提示胆囊穿孔，且由于单克隆丙种球蛋白病史，无法进行增强 CT 检查，因此进行了增强超声检查。在给予 2.5 mL SonoVue（意大利米兰 Bracco 公司）后，发现胆囊壁有缺损。患者接受了剖腹手术，术中证实为胆囊穿孔。
