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Contrast-enhanced ultrasonography of xanthogranulomatous cholecystitis
Received:March 13, 2020  Revised:March 30, 2020  Click here to download the full text
Citation of this paper:WU Wen-qing,HUANG Bei-jian,LU Qing,XIA Han-sheng,MAO Feng,WANG Wen-ping.Contrast-enhanced ultrasonography of xanthogranulomatous cholecystitis[J].Chinese Journal of Clinical Medicine,2020,27(3):493-496
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Author NameAffiliationE-mail
WU Wen-qing Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
HUANG Bei-jian Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China huang.beijian@zs-hospital.sh.cn 
LU Qing Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
XIA Han-sheng Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
MAO Feng Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
WANG Wen-ping Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
Abstract:Objective: To explore the characteristics of contrast-enhanced ultrasonography (CEUS) in xanthogranulomatous cholecystitis (XGC). Methods: The clinical data of 24 patients with postoperative pathological diagnosis of XGC in the past 5 years were collected. The sonographic characteristics of conventional ultrasound and CEUS results were analyzed. Results: Conventional ultrasound results showed that the contour of gallbladder was clear in 17 cases (70.8%), fuzzy in 7 cases (29.2%), and the continuity of gallbladder mucosa was good in only 2 cases (8.3%), rich color flow signal could be detected in 17 cases (70.8%). On CEUS, enhancement could be detected in all cases (100.0%), all cases showed clear gallbladder contour (100.0%), and the continuity of mucosal line was good in 18 cases (75.0%). Compared with conventional ultrasound, CEUS had significant difference in the display of gallbladder mucosal line, gallbladder contour, and the detection rate of thickened gallbladder wall blood flow (P<0.001, P=0.009 and P=0.009). Conclusions: CEUS might provide more diagnostic information for XGC, and be more helpful in the diagnosis of XGC than conventional ultrasound.
keywords:cholecystitis  xanthogranulomatous  contrast-enhanced ultrasound
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