Cholelithiasis on Imaging - An Analysis of Clinical Presentations by Age and Gender in a Jamaican Population

West, W. M.; Brady-West, D. C.; West, K. P.; Frankson, M.
September 2009
West Indian Medical Journal;Sep2009, Vol. 58 Issue 4, p375
Academic Journal
Objective: This study is a descriptive analysis of the clinical presentations in which cholelithiasis was diagnosed on imaging over a five-year period at the University Hospital of the West Indies, Jamaica and how the clinical presentation varied with age and gender. Method: A retrospective review was done of all cases of cholelithiasis recorded in the reports of the Radiology section during the period January 1, 2002 to December 31, 2006. Patients' age and gender were noted. Each case was assigned to one of four clinical categories based on the clinical scenario at the time of referral for imaging: Acute abdomen-Incidental: (not referable to the biliary tract); Acute abdomen-Biliary (biliary colic/acute cholecystitis); Non-acute-Incidental: (not referable to the biliary tract) and Non-acute-Biliary (suspected cholelithiasis). The data were analyzed using post-hoc cross-tabulations, ANOVA, and post-hoc Tukey-tests. Results: Three hundred and forty-four females and 137 males were diagnosed with cholelithiasis with the mean age at diagnosis being 49 and 50 years respectively. Females were diagnosed with cholelithiasis at higher rates in the context of acute abdominal symptoms both referable and unrelated to the biliary tract, while males were diagnosed at higher rates as an incidental finding in a non-acute presentation. There was no significant difference between the genders in the rate of diagnosis of cholelithiasis when this was suspected clinically in the non-acute setting. Conclusion: More females were diagnosed with cholelithiasis. There was no gender-related difference in the mean age at which cholelithiasis was diagnosed. There were statistically significant differences between the genders in the rates at which cholelithiasis was identified in different clinical scenarios.


Related Articles

  • Ultrasound of the gall bladder and biliary tree: part 1. Wills, Mark; Harvey, Chris J.; Kuzmich, Siarhei; Afaq, Asim; Cosgrove, David // British Journal of Hospital Medicine (17508460);Jun2014, Vol. 75 Issue 6, p312 

    The article details normal ultrasound appearances of the gall bladder and appearances of cholecystitis, sludge and adenomyomatosis. Topics discussed include ultrasound as chosen modality for initial investigation of suspected gall bladder and biliary tree pathology, gall stones as the commonest...

  • Surgical Treatment of Biliary Tract Infections. Lillemoe, Keith D. // American Surgeon;Feb2000, Vol. 66 Issue 2, p138 

    Despite major advances in surgical and nonsurgical therapy, biliary tract infections remain a significant cause of morbidity and mortality. The two classic biliary tract infections most commonly encountered are acute cholecystitis (either calculous or acalculous) and acute cholangitis. In...

  • GALLBLADDER CARCINOMA; FREQUENCY IN PATIENTS UNDER GOING CHOLECYSTECTOMY FOR CHRONIC CHOLECYSTITIS. Khan, Ahmad Hassan; Goraya, Saifullah // Professional Medical Journal;Jan2011, Vol. 18 Issue 1, p120 

    Objective: Chronic Cholecystitis is one of the commonest diseases presenting in surgical department and is subjected to cholecystectomy each time. A suspicious gall bladder on ultrasound initiates further investigations to rule out carcinoma of gall bladder yet some times a benign looking gall...

  • Part 2: Making the diagnosis.  // Independent Nurse;6/16/2008, p35 

    The article discusses the diagnosis of gallstones. The author mentions that the history of the patient is crucial in making the diagnosis of gallstone-relates problems, however various examinations such as abnormal liver function test and ultrasound can identify biliary tract dilatation,...

  • Hydatid Cyst of the Liver Rupturing into the Biliary Tract-- Mimicking Acute Cholecystitis on Hepatohiliary Scanning. Nagler, A.; Enat, R.; Brenner, B.; Israel, O.; Argov, S. // American Journal of Gastroenterology;Oct1985, Vol. 80 Issue 10, p819 

    Two patients presenting with right upper abdominal colicky pain, jaundice, and fever had a hepatohiliary scan using Tc 99m HIDA. The scan was suggestive of acute cholecystitis and a space occupying lesion in the liver. On operation, liver echinococcosis, located in the right lobe rupturing into...

  • Xanthogranulomatous inflammatory strictures of extrahepatic biliary tract: presentation and surgical management. Krishna, Ravula Phani; Kumar, Ashok; Singh, Rajneesh Kumar; Sikora, Sadiq; Saxena, Rajan; Kapoor, Vinay K. // Journal of Gastrointestinal Surgery;May2008, Vol. 12 Issue 5, p836 

    Background: Xanthogranulomatous cholecystitis (XGC) is a benign, invasive variant of chronic cholecystitis. Invasion of common bile duct (CBD), termed as xanthogranulomatous choledochitis, may mimic malignancy. We describe clinico-pathological features and management of...

  • Gallstone Ileus. Graham, John S.; Rothwell, Bruce C. // New England Journal of Medicine;9/9/2004, Vol. 351 Issue 11, p1119 

    Presents images in clinical medicine. Case of an 83-year-old woman hospitalized with nausea, vomiting and obstipation; Weight loss and less severe symptoms over the previous six months; Distended abdomen with no masses or hernias; CT scan of the abdomen and pelvis which showed distended loops of...

  • Double Incomplete Internal Biliary Fistula: Coexisting Cholecystogastric and Cholecystoduodenal Fistula. Beksac, Kemal; Erkan, Arman; Kaynaroglu, Volkan // Case Reports in Surgery;1/19/2016, p1 

    Internal biliary fistula is a rare complication of a common surgical disease, cholelithiasis. It is seen in 0.74% of all biliary tract surgeries and is thought to be a result of repeated inflammatory periods of the gallbladder. In this report we present a case of incomplete cholecystogastric and...

  • A simple technique for removal of the gallbladder during microlaparoscopic cholecystectomy. Machado, M. A. C.; Herman, P. // Surgical Endoscopy;Aug2004, Vol. 18 Issue 8, p1289 

    With the advent of mini-instruments, laparoscopic cholecystectomies have been performed with two or three trocars instead of the standard four ports. However, removal of the gallbladder is a difficult aspect with these microlaparoscopic techniques. To remove the gallbladder through the 11-mm...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics