Cholelithiasis – a tomographic view
DOI:
https://doi.org/10.33448/rsd-v12i6.41807Keywords:
Cholelithiasis; Computed Tomography; Cholangiography.Abstract
Introduction: Cholelithiasis are stones that form in the gallbladder. Its main symptom is biliary colic with pain in the right hypochondrium, which may be accompanied by nausea and vomiting. This condition affects about 10-20% of the general population. Objective: To approach the use of imaging methods for diagnosing cholelithiasis, focusing on computed tomography. Methodology: An integrative literature review was performed by searching for scientific publications indexed in the following databases: SciELO, Portal BVS and PubMed. The following descriptors were used: (cholelithiasis) AND (diagnosis). 20 publications were selected as a sample for this article. Discussion: Abdominal and biliary ultrasonography (USG) is the most appropriate imaging method in cases of suspected cholelithiasis, as it presents high sensitivity and specificity for identifying gallbladder stones. Computed tomography (CT) is the imaging method indicated to exclude differential diagnoses and to evaluate the evolution of the condition and its complications. Conclusion: CT is not the imaging exam of choice for such diagnosis, due to its cost price, execution time and result, besides not having high sensitivity and specificity for the confirmation of cholelithiasis diagnosis.
References
Alencastro, M. C., Cardoso, C. T., Mendes, C. A., Boteon, Y. L., de Carvalho, R. B., & Fraga, G. P. (2013). Abdome agudo por obstrução por ileobiliar. Rev. Col. Bras. Cir., 40(4), 275–280. https://doi.org/10.1590/s0100-69912013000400004
Amini, B. (n.d.). Mercedes-Benz sign of cholelithiasis | Radiology Case | Radiopaedia.org. Radiopaedia. https://radiopaedia.org/cases/mercedes-benz-sign-of-cholelithiasis?lang=us
Araújo, P. da C., Figueiredo, B. Q. de, Souza, B. de F., Araújo, C. V. R., Silva, R. A. S. R., Lucena, R. A. de, Passarinho, M. V. R., Oliveira, B. S. B. de, Costa, M. G. O., & Tomé, L. S. A. (2022). Achados de imagem na colecistite aguda, suas complicações e tratamento. Research, Society and Development, 11(12), e332111234801. https://doi.org/10.33448/rsd-v11i12.34801
Cianci, P., & Restini, E. (2021). Management of cholelithiasis with choledocholithiasis: Endoscopic and surgical approaches. World Journal of Gastroenterology, 27(28), 4536–4554. https://doi.org/10.3748/wjg.v27.i28.4536
Conditions, R. C. (n.d.1). Cholelithiasis | Radiology Case | Radiopaedia.org. Radiopaedia. https://radiopaedia.org/cases/cholelithiasis-7?lang=us
Costa, D. M. C., Salvadori, P. S., Monjardim, R. da F., Bretas, E. A. S., Torres, L. R., Caldana, R. P., Shigueoka, D. C., Medeiros, R. B., & D’ippolito, G. (2013). When the non-contrast-enhanced phase is unnecessary in abdominal computed tomography scans? A retrospective analysis of 244 cases. Radiologia Brasileira, 46(4), 197–202. https://doi.org/10.1590/s0100-39842013000400004
Costi, R. (2014). Diagnosis and management of choledocholithiasis in the golden age of imaging, endoscopy and laparoscopy. World Journal of Gastroenterology, 20(37), 13382. https://doi.org/10.3748/wjg.v20.i37.13382
Gomes, C. A., Junior, C. S., Di Saveiro, S., Sartelli, M., Kelly, M. D., Gomes, C. C., Gomes, F. C., Correa, L. D., Alves, C. B., & Guimarães, S. de F. (2017). Acute calculous cholecystitis: Review of current best practices. World Journal of Gastrointestinal Surgery, 9(5), 118. https://doi.org/10.4240/wjgs.v9.i5.118
Kabra, U. (n.d.). Cholelithiasis with choledocholithiasis | Radiology Case | Radiopaedia.org. Radiopaedia. https://radiopaedia.org/cases/cholelithiasis-with-choledocholithiasis-1?lang=us
Meneghelli, U. G. (2003). Elementos para o diagnóstico do abdômen agudo. Medicina (Ribeirao Preto. Online), 36(2/4), 283. https://doi.org/10.11606/issn.2176-7262.v36i2/4p283-293
Okamoto, K., Suzuki, K., Takada, T., Strasberg, S. M., Asbun, H. J., Endo, I., Iwashita, Y., Hibi, T., Pitt, H. A., Umezawa, A., Asai, K., Han, H.-S., Hwang, T.-L., Mori, Y., Yoon, Y.-S., Huang, W. S.-W., Belli, G., Dervenis, C., Yokoe, M., & Kiriyama, S. (2018). Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences, 25(1), 55–72. https://doi.org/10.1002/jhbp.516
Okoli, C., Duarte, T. por:David W. A., & Mattar, R. técnica e introdução:João. (2019). Guia Para Realizar uma Revisão Sistemática de Literatura. EaD Em Foco, 9(1). https://doi.org/10.18264/eadf.v9i1.748
Pisano, M., Allievi, N., Gurusamy, K., Borzellino, G., Cimbanassi, S., Boerna, D., Coccolini, F., Tufo, A., Di Martino, M., Leung, J., Sartelli, M., Ceresoli, M., Maier, R. V., Poiasina, E., De Angelis, N., Magnone, S., Fugazzola, P., Paolillo, C., Coimbra, R., & Di Saverio, S. (2020). 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World Journal of Emergency Surgery, 15(1). https://doi.org/10.1186/s13017-020-00336-x
Rasuli, B. (n.d.). Cholelithiasis | Radiology Case | Radiopaedia.org. Radiopaedia. https://radiopaedia.org/cases/cholelithiasis-8?lang=us
Ribeiro, B., Alves, A., Augustus, R., Fernanda Garozzo Velloni, & D’Ippolito, G. (2019). The role of gadoxetic acid-enhanced magnetic resonance cholangiography in the evaluation of postoperative bile duct injury: pictorial essay. Radiol Bras, 52(6), 403–407. https://doi.org/10.1590/0100-3984.2018.0089
Rufino, I. R., & Cutrim, M. S. P. (2020). Fístula colecistoduodenal uma rara complicação de colelitíase: relato de caso e seu diagnóstico por imagem. Revista de Pesquisa Em Saúde, 20(1). https://periodicoseletronicos.ufma.br/index.php/revistahuufma/article/view/14360
Sampaio, R. N., José Gonçalves, Sansom Henrique Bromberg, Guz, B., & Arnaldo Zanoto. (2005). Predição da coledocolitíase pela associação de indicadores clínicos e laboratoriais em dois momentos do pré-operatório da colecistectomia. Rev. Col. Bras. Cir., 32(1), 41–46. https://doi.org/10.1590/s0100-69912005000100010
Santos, J. S., Sankarankutty, A. K., Júnior, W. S., Kemp, R., Módena, J. L. P., Júnior, J. E., & Júnior, O. C. e S. (2008). Colecistectomia: aspectos técnicos e indicações para o tratamento da litíase biliar e das neoplasias. Medicina (Ribeirão Preto), 41(4), 449–464. https://doi.org/10.11606/issn.2176-7262.v41i4p449-464
Souza, C. (n.d.). Cholelithiasis | Radiology Case | Radiopaedia.org. Radiopaedia. https://radiopaedia.org/cases/cholelithiasis-9?lang=us
Zacarias, M. S., Pria, H. R. F. D., Oliveira, R. A. S. de, Delmonte, L. F., Velloni, F. G., & D’Ippolito, G. (2020). Non-neoplastic cholangiopathies: an algorithmic approach. Radiologia Brasileira, 53(4), 262–272. https://doi.org/10.1590/0100-3984.2019.0069
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Copyright (c) 2023 Paulo Eduardo Souza Castelo Branco; Adriane Helena Silva Franco; Amanda Prates de Oliveira; Isabela Maurício Costa Carneiro; Juliana Ramos Rosário; Micaella Luiza de Oliveira Neves; Sabrina Aparecida Faria Gontijo; Márcio José Rosa Requeijo
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