Garassini M A, Alvarado M, Lara J, Flores J, Torres G, Morún Y, Garassini Chávez M E
Departamento de Gastroenterología, Hospital Militar Dr. Carlos Arvelo, Caracas.
G E N. 1989 Jul-Sep;43(3):161-8.
Alterations of the gallbladder wall is a well known sonographic sign of acute cholecystitis. But thickening of the gallbladder wall is also found in patients without intrinsic gallbladder disease. We present our experience on this regard in patients with cirrhosis, acute viral hepatitis, infectious mononucleosis, halothane hepatitis, fulminant hepatic failure, malaria due to plasmodium falciparum, heart failure, severe malnutrition due to gastric obstruction, septicemia, pyogenic hepatic abscess, amoebic hepatic abscess and in a 14 years old patient with fracture of the skull-acute anemia-shock. Most of these diseases affected the liver directly or indirectly. Knowledge of these alterations of the gallbladder wall in these circumstances are important in order to avoid a the erroneous diagnosis of acute cholecystitis.
胆囊壁改变是急性胆囊炎一种众所周知的超声征象。但在无胆囊本身疾病的患者中也可发现胆囊壁增厚。我们介绍了在肝硬化、急性病毒性肝炎、传染性单核细胞增多症、氟烷性肝炎、暴发性肝衰竭、恶性疟原虫所致疟疾、心力衰竭、胃梗阻所致严重营养不良、败血症、化脓性肝脓肿、阿米巴肝脓肿患者以及一名14岁颅骨骨折 - 急性贫血 - 休克患者中这方面的经验。这些疾病大多直接或间接影响肝脏。了解这些情况下胆囊壁的改变对于避免急性胆囊炎的误诊很重要。
