Hyperplastic cholecystoses.

Md State Med J

Published: July 1966

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Adenomyomatosis of the Gallbladder as a Cause of Abdominal Pain in Pediatrics: A Case Report of an Adolescent and a Literature Review.

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From the Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada.

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[Ultrasonics in the diagnosis of hyperplastic cholecystoses of focal and segmental extension type].

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II Servizio di Radiologia, Ospedale Civico e Benfratelli, Palermo.

The authors describe the sonographic (US) patterns of hyperplastic cholecystoses observed from January 1983 to April 1987 - 39 cases of focal extension and 12 of segmental extension--and confirm the higher sensibility of US versus oral cholecystography. Sonography (SG) allows a straight visualization of the gallbladder wall and its lesions, both in case of limited thickening of the wall (focal cholecystosis) and in case of more extensive thickening (segmental cholecystosis). To cholecystographic findings of focal lesions, SG gives additional information, adding a fundamental diagnostic element: the lack of acoustic shadowing distal to the nodular masses.

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To evaluate the accuracy of ultrasonic methods in diagnosing hyperplastic cholecystoses we performed sonography on 31 patients in whom adenomyomatosis of cholesterol polyps of the gall bladder had been diagnosed radiologically. Despite recent improvements in the image quality of ultrasound machines the ultrasonic method was no better in diagnosing cholesterol polyps than radiology and was inferior to radiology in diagnosing localized alterations of the gall bladder wall caused by adenomyomatosis. Thus for the latter radiology remains the method of choice.

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