Contrast-enhanced ultrasound detects gallbladder perforation in a patient with acute abdominal pain

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 gallbla...

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Bibliographic Details
Published in:The American journal of emergency medicine 2012-03, Vol.30 (3), p.516.e5-516.e6
Main Authors: Zechner, Peter Michael, MD, Rienmüller, Susanne, MD, Dorr, Katrin, MD, Genger, Christina, MD, Wurzer, Herbert, MD
Format: Article
Language:English
Subjects:
Abdomen, Acute - etiology
Aged, 80 and over
Cholecystitis - complications
Cholecystitis - diagnostic imaging
Computed tomography
Contrast Media
Emergency
Emergency medical care
Gallbladder
Gallbladder diseases
Gallbladder Diseases - complications
Gallbladder Diseases - diagnostic imaging
Humans
Male
Medical diagnosis
Mortality
Phospholipids
Rupture, Spontaneous - complications
Rupture, Spontaneous - diagnostic imaging
Sulfur Hexafluoride
Ultrasonography
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Summary: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.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2011.01.020