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Updated: Apr 10, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Diagnosis of gallbladder perforation by ultrasound
Mika Shapira-Rootman1, Ahmad Mahamid2, Nadir Reindorp1
1Department of Radiology, Hillel Yaffe Medical Center, Hadera, Israel; Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Purpose:
The aim of this study was to identify possible pitfalls in the sonographic evaluation of perforated gallbladders.
Methods:
This is a retrospective analysis of sonograms of 11 patients diagnosed by surgery or pathology with perforated gallbladder. Sonograms were evaluated for multiple sonographic features.
Results:
Only three patients (27%) were diagnosed correctly with gallbladder perforation by ultrasonography prior to surgery. Gangrenous cholecystitis was reported in 10 cases (90%). Visualization of a wall defect was demonstrated in only five cases (45%) and was associated with a focal echogenic soft-tissue mass.
Conclusion:
Missed perforations by ultrasound may partially result from technical inadequacies.
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