ULTRASOUND DIAGNOSTICS OF CHOLELITHIASIS IN EMERGENCY CONDITIONS, CHANGES IN THE INTRA AND EXTRAHEPATIC BILE DUCTS

Abstract

The use of ultrasound examination for cholelithiasis makes it possible to make the correct diagnosis in the shortest possible time, to determine the subsequent therapeutic tactics, and to start conservative or surgical treatment in a timely manner. Timely diagnosis of biliary tract lesions, and stagnation of extrahepatic and intrahepatic bile ducts. Studying morpho-functional changes in the intrahepatic and extrahepatic biliary tract in cholelithiasis was the research’s aim. The materials are collected from the medical histories of patients in the surgical department of the RSCEMC BB with a diagnosis of acute cholelithiasis, static treatments, and the reliability criteria of the different indicators. Ultrasound machines Mindray M7, Esaote My lab X6, Esaote Mylab 40.  The studied ultrasound signs of the gallbladder and its walls, such as the length of the gallbladder, its area, and volume, indicate the possibility of their use in the differential diagnosis of chronic and acute calculous cholecystitis, as well as obstruction of the biliary tract. In patients with acute calculous cholecystitis and with obstruction of the biliary tract, the wall of the gallbladder thickens with an increase in size (length, area, and volume) and has a high level of correlation with the degree of increase in intravesical pressure.