J Korean Radiol Soc.  1979 Jun;15(1):197-204. 10.3348/jkrs.1979.15.1.197.

Roentgenological observation in the disease of biliary tract by plain film study of abdomen

• Kim BS

• KMID: 2349366
• DOI: http://doi.org/10.3348/jkrs.1979.15.1.197

Abstract

The author encoutered 36 cases of the cholecystopathy confirmed by the operation or I.V. cholecystography after the plain films of abdomen were taken, and who were admitted through the emergency room at Busan National University and Busan Saint Benedict Hospitals from January 1977 to October 1978. Among them, the author analysed especially 10 cases of the cholecystopathy showed the gall bladder shadow on the plain films of the abdomen andconfirmed by the operation. After then, 104 cases of normal persons as a control group were taken the plain filmstudy of the abdomen with the supine and erect positions. The findings obtained through this study were summerized as follows. 1. Among 36 cases of the cholecystopathy, the age distribution was 19 to 77 years of age, and the higheset incidence was fifth decade. Sex ratio ws equal in distribution. 2. The most prominent symptom was rightupper abdominal pain(97.2%). Then came radiating pain, fever, chiling , nausea, vomiting, and jaundice in that order. 3. The most common duration of the clinical onset was less 5 days. 4. The radiographic film of plainabdomen showed local meteorism in 91.7%, gall bladder shadow in 47.2%, and radiopaque gall stone, air in gallbladder and air in biliary duct in 2.7%, respectively. 5. In the control group, no gall bladder shadow and air insmall interstine were seen on the radiographic films of plain abdomen, but some of the air shadow in hepatic and splenic flexures of colon were found in about 90.4% or more. 6. The diameters of the gall bladder shadow showed from 3.5cm to 8.5cm in whidth on the radiographic films of plain abdomen. The operative findings showed a severe inflammatory change in the wall of gall bladder, but no gall stone in the smaller cases of the gall bladdershadow. In the larger cases, a single or multiple radiolucent stones in common bile duct or gall bladder, or tumorin common bile duct with inflammmatory change in the wall of gall bladder were found.

MeSH Terms

Abdomen*
Age Distribution
Biliary Tract*
Busan
Chile
Cholecystography
Colon
Common Bile Duct
Emergency Service, Hospital
Fever
Gallbladder
Gallstones
Humans
Incidence
Jaundice
Meteoroids
Nausea
Saints
Sex Ratio
Urinary Bladder
Vomiting
X-Ray Film