Abstract | OBJECTIVE: DESIGN: Prospective study. SETTING: Oulu University Hospital, Finland. SUBJECTS: MAIN OUTCOME MEASURES: Correlation of ultrasonographic findings and C reactive protein concentrations with histological findings. RESULTS: Ultrasonography correctly classified 86 of 108 patients with acute cholecystitis (79%). When the findings were combined with those of increased concentrations of C reactive protein the accuracy rose to 105 of 108 (97%). Large increases in C reactive protein concentrations were associated with both infected bile and gangrene of the gall bladder. CONCLUSIONS: The combination of ultrasonography and measurement of C reactive protein concentration is recommended in the routine investigation of all patients with suspected acute cholecystitis. Serum C reactive protein concentrations should be monitored regularly to select those patients who require emergency operation.
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Authors | T Juvonen, H Kiviniemi, O Niemelä, M I Kairaluoma |
Journal | The European journal of surgery = Acta chirurgica
(Eur J Surg)
1992 Jun-Jul
Vol. 158
Issue 6-7
Pg. 365-9
ISSN: 1102-4151 [Print] England |
PMID | 1356470
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Acute Disease
- Adult
- Aged
- Aged, 80 and over
- C-Reactive Protein
(analysis)
- Cholecystitis
(blood, diagnosis, diagnostic imaging)
- Evaluation Studies as Topic
- Female
- Humans
- Male
- Middle Aged
- Prospective Studies
- Time Factors
- Ultrasonography
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