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Cholecystosonography in children with sickle cell disease: Technical approach and clinical results

Cholecystosonography in children with sickle cell disease: Technical approach and clinical results Forty‐five children with sickle cell anemia were studied with meticulous cholecystosonograms using a 5‐MHz thyroid transducer. Good‐quality images were obtained. The most informative and useful view was the left‐side‐down decubitus study with the ultrasound gantry angled 45% to the anteroposterior axis. Rotating the patient rapidly through 360 degrees did not increase the information content of the examination. We found that one third of a random group of children with sickle cell anemia will have gallstones and one fifth will have “sludge”. A kinked deformity of the gallbladder may simulate a gallstone. Neither age, sex, weight, physical findings (except for hepatomegaly), nor a variety of biochemical measurements of the blood will be of much value in predicting gallbladder disease in any given patient. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Cholecystosonography in children with sickle cell disease: Technical approach and clinical results

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References (8)

Publisher
Wiley
Copyright
Copyright © 1981 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870090506
Publisher site
See Article on Publisher Site

Abstract

Forty‐five children with sickle cell anemia were studied with meticulous cholecystosonograms using a 5‐MHz thyroid transducer. Good‐quality images were obtained. The most informative and useful view was the left‐side‐down decubitus study with the ultrasound gantry angled 45% to the anteroposterior axis. Rotating the patient rapidly through 360 degrees did not increase the information content of the examination. We found that one third of a random group of children with sickle cell anemia will have gallstones and one fifth will have “sludge”. A kinked deformity of the gallbladder may simulate a gallstone. Neither age, sex, weight, physical findings (except for hepatomegaly), nor a variety of biochemical measurements of the blood will be of much value in predicting gallbladder disease in any given patient.

Journal

Journal of Clinical UltrasoundWiley

Published: Jun 1, 1981

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