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CASE REPORT article

Front. Med.
Sec. Hepatobiliary Diseases
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1422708

Improved detection of gallbladder perforation by contrast-enhanced ultrasound： two case reports

Provisionally accepted
Yaxin Zhou Yaxin Zhou Lulu Yang Lulu Yang *
  • Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, China

The final, formatted version of the article will be published soon.

    Acute cholecystitis is a common acute abdominal disease, but the occurrence of secondary gallbladder perforation is relatively rare, and poses a serious threat to the lives of patientsand seriously threatens to the life of patients. The conventional methods for diagnosing acute cholecystitis are abdominal contrast-enhanced CT and ultrasound.However, these methods may have limitations in detecting gallbladder perforation, especially in cases where perforation size are small. In contrast, contrast-enhanced ultrasound (CEUS) has the distinct advantage of providing dynamic, real-time visualization of the gallbladder wall enhancement, thereby enabling a more confident diagnosis of gallbladder perforation. Here, we report two cases of acute cholecystitis initially diagnosed by abdominal contrast-enhanced CT, and secondary gallbladder perforation detected by further contrast-enhanced ultrasound. Both patients were finally treated in a timely manner. Our cases suggest that CEUS can be an important complementary method for diagnosing gallbladder perforation.

    Keywords: Gallbladder perforation, acute cholecystitis, contrast-enhanced ultrasound, diagnosis, case repotrs reports

    Received: 24 Apr 2024; Accepted: 26 Nov 2024.

    Copyright: © 2024 Zhou and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Lulu Yang, Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, China

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