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Neuro
Cancer
Cardio
Lipid
Metab
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Zechner, PM; Rienmüller, S; Dorr, K; Genger, C; Wurzer, H.
Contrast-enhanced ultrasound detects gallbladder perforation in a patient with acute abdominal pain.
Am J Emerg Med. 2012; 30(3):516.e5-516.e6
Doi: 10.1016/j.ajem.2011.01.020
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Dorr Katrin
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- Abstract:
- We present the case of a patient with abdominal pain, in which gallbladder perforation was detected by contrast-enhanced ultrasound. A 90-year-old patient presented to the emergency department with a complaint of acute abdominal pain and vomiting. An abdominal ultrasound revealed a thickened gallbladder wall and small amounts of perihepatic fluid. Because these findings were suspicious for gallbladder perforation and contrast-enhanced computed tomography could not be performed because of a history of monoclonal gammopathy, a contrast-enhanced ultrasound scan was performed. After the administration of 2.5 mL of SonoVue (Bracco, Milan, Italy), a defect of the gallbladder wall was detected. The patient underwent laparotomy, on which the diagnosis of gallbladder perforation was confirmed.
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