Radiologic features of symptomatic cholelithiasis: a current perspective

Abstract

Introduction / Aim: The aim of this study was to use radiography, ultrasonography (US), and computed tomography (CT) to investigate the radiological features of symptomatic cholelithiasis. Material and Method: From January 2014 and September 2019, 543 patients with cholelithiasis were identified. Of these, 174 who also underwent radiography and CT were included in the study. During the 3-year follow-up of the 174 patients, 80 patients had symptomatic cholelithiasis, identified according to US and/or CT examinations, as well as clinical findings. Cholecystitis, cholangitis, pancreatitis, and choledocholithiasis findings were considered symptomatic. Radio-opaque stones were identified on radiography and stones were visible on CT. The stones were divided into groups according to their calcification types. The Hounsfield unit (HU) values of the stones were measured and the number and size of the stones were determined by CT and US. Findings / Results: Symptomatic findings included radio-opaque stones, multiple stones, stones with HU values above 100 HU, and cholelithiasis of the uniform calcification type (P <0.05). However, the relationship between symptomatic cholelithiasis and stone size was not significant (P>0.05). Conclusion: The radiological features of symptomatic cholelithiasis are important in terms of follow-up, treatment plan and prevention of complications.

Keywords

• radio-opaque
• symptomatic
• complication
• Cholelithiasis

Semptomatik kolelitiyazisin radyolojik özellikleri: güncel bir bakış

Abstract

Giriş / Amaç: Bu çalışmanın amacı, semptomatik kolelitiyazisin radyolojik özelliklerini araştırmak için radyografi, ultrasonografi (US) ve bilgisayarlı tomografi (BT) kullanmaktı. Gereç ve Yöntem: Ocak 2014 ve Eylül 2019'dan itibaren 543 kolelitiyazisli hasta belirlendi. Bunlardan hem radyografi, hem de BT’si çekilen 174'ü çalışmaya dahil edildi. 174 hastanın 3 yıllık takibinde 80 hastada US ve / veya BT incelemelerine ve klinik bulgulara göre tespit edilen semptomatik kolelitiyazis vardı. Kolesistit, kolanjit, pankreatit ve koledokolitiazis bulguları semptomatik olarak kabul edildi. Radyografide radyoopak taşlar belirlendi ve BT'de taşlar görüldü. Taşlar kalsifikasyon türlerine göre gruplara ayrıldı. Taşların Hounsfield birimi (HU) değerleri ölçülerek taş sayısı ve boyutu CT ve US tarafından belirlendi. Bulgular ve Sonuç: Radyoopak taşlar, çoklu taşlar, HU değerleri 100 HU'nun üzerinde olan taşlar ve tek tip kalsifikasyon tipinde safra taşlarında semptomatik bulgular vardı (P <0.05). Ancak semptomatik kolelitiazis ile taş boyutu arasındaki ilişki anlamlı değildi (P> 0.05). Semptomatik kolelitiyazisin radyolojik özellikleri takip, tedavi planı ve komplikasyonların önlenmesi açısından önemlidir.

Keywords

• radyoopak
• Semptomatik
• Komplikasyon
• Kolelitizis

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