Chinn D H, Miller E I, Piper N
J Ultrasound Med. 1987 Jun;6(6):313-7. doi: 10.7863/jum.1987.6.6.313.
In this retrospective study of 19 patients with hemorrhagic cholecystitis, 14 (74%) patients demonstrated one of the following unusual sonographic features: focal gallbladder wall irregularity; intraluminal membranes; coarse, nonshadowing, nonmobile intraluminal echoes. The clinical presentation of these cases (abdominal pain, 100%; leukocytosis, 74%; fever, 63%) is identical to the classic presentation of acute cholecystitis. Overt gastrointestinal bleeding did not occur.
在这项对19例出血性胆囊炎患者的回顾性研究中,14例(74%)患者表现出以下异常超声特征之一:胆囊壁局灶性不规则;腔内隔膜;粗大、无阴影、不移动的腔内回声。这些病例的临床表现(腹痛,100%;白细胞增多,74%;发热,63%)与急性胆囊炎的典型表现相同。未发生明显的胃肠道出血。