Abstract

ROLE OF MSCT IN THE DIAGNOSIS OF PERFORATED GALL BLADDER; A RETROSPECTIVE STUDY IN ARMED FORCE HOSPITAL OF THE SOUTHERN REGION, SAUDI ARABIA

Zuhair Jabour*, Mohammed Moawed, Mohammed Bazeed, Khalid Shamakhay, Mosa Tomaihi, Eissa Bakri, Abdulbasit Jaabur, Abdulelah Alhathiq, Marwan Abiri, Zakaria Alsanosi, Abdullah Rayyani, Mohammed Tawhari and Abdullah Sabai

.

Abstract

Backgraound and Objective: Despite the rarely happening of Gall bladder perforation, it is considered as a dangerous illness and may consequence to developed fatal complications as acute cholecystitis. This study intended to evaluated the patients with Gall bladder perforation who were diagnosed by using multislice CT (MSCT). Method: this study included nineteen patients with Gall bladder perforation. The researcher followed a retrospective method to evaluate the patients who had done abdominal ultrasonography and contrast-enhanced abdominal MSCT. Results: after evaluating the patients over three years (2017-2019); it was found that about two thirds of patients (12) with type I GBP, six patients with type II, and only one patient with type III GBP. Gall stones, thickening of the wall, free intra-peritoneal fluid, air within the gallbladder and pericholecystic fluid collection were reported using the abdominal US. Additionally, abdominal US revealed a gall bladder wall defect in many patients. The most important finding should be noted from the MSCT review were the identification of wall defects, whether single or numerous, connected to sub or intrahepatic abscess. Conclusion: It became clear that MSCT was a sensitive modality for the diagnosis of GBP and detecting its possible complications.

Keywords: Gall bladder, CT, perforation.