Zhou Yaxin, Yang Lulu
Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, China.
Front Med (Lausanne). 2024 Dec 5;11:1422708. doi: 10.3389/fmed.2024.1422708. eCollection 2024.
Acute cholecystitis is a common acute abdominal disease, but the occurrence of secondary gallbladder perforation is relatively rare, and poses a serious threat to the lives of patients. The conventional methods for diagnosing acute cholecystitis are abdominal contrast-enhanced CT and ultrasound. However, these methods may have limitations in detecting gallbladder perforation, especially in cases where perforation size are small. In contrast, contrast-enhanced ultrasound (CEUS) has the distinct advantage of providing dynamic, real-time visualization of the gallbladder wall enhancement, thereby enabling a more confident diagnosis of gallbladder perforation. Here, we report two cases of acute cholecystitis initially diagnosed by abdominal contrast-enhanced CT, and secondary gallbladder perforation detected by further contrast-enhanced ultrasound. Both patients were finally treated in a timely manner. Our cases suggest that CEUS can be an important complementary method for diagnosing gallbladder perforation.
急性胆囊炎是一种常见的急性腹部疾病，但继发性胆囊穿孔的发生相对少见，且对患者生命构成严重威胁。诊断急性胆囊炎的传统方法是腹部增强CT和超声检查。然而，这些方法在检测胆囊穿孔方面可能存在局限性，尤其是在穿孔尺寸较小的情况下。相比之下，超声造影（CEUS）具有独特的优势，能够动态、实时地显示胆囊壁的增强情况，从而更有把握地诊断胆囊穿孔。在此，我们报告两例最初经腹部增强CT诊断为急性胆囊炎，后经进一步超声造影检测出继发性胆囊穿孔的病例。两名患者最终均得到及时治疗。我们的病例表明，超声造影可成为诊断胆囊穿孔的重要辅助方法。
