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March 7, 1977

Ultrasound as an Aid in the Diagnosis of Hydrops of the Gallbladder

JAMA. 1977;237(10):996. doi:10.1001/jama.1977.03270370068028

ACUTE cholecystitis and acute hydrops of the gallbladder present as a surgical emergency. Ultrasonography provides a simple, rapid, and noninvasive procedure, which is helpful in the evaluation and diagnosis of gallbladder disease. A case of acute hydrops of the gallbladder in which cholecystosonography was helpful in its management is presented.

Report of a Case  A 96-year-old woman was admitted for abdominal pain of one day's duration. The patient experienced crampy abdominal pain in the right upper quadrant but denied nausea or vomiting, alteration in bowel habits, or change in color of stool or urine. The patient had no jaundice, abdominal distention, or fever. She gave a history suggesting mild cholecystitis for 55 years. Tenderness was present in the right upper quadrant and the right costovertebral angle. A complete blood count showed leukocytosis with shift to the left. Hematocrit reading was 40%, and hemoglobin level was 10 gm/100 ml. The patient