Explanation Of Ultrasound Results For Acute Cholecystitis?
, want to ask the meaning of the reading of the upper abdominal ultrasound results, it says. r nVF: thickened wall, double layer (+) with hypoechoic lesions in it, internal echo (+), stone (-). On the results of the written impression of acute colecystitis with a suspect pericolecystitis abscess. R nIf the result is such an impression, is it necessary to undergo surgery? Or can you use drugs first ?. thank you
Hello, thank you for your question.
VF is the vesica fellea (gall bladder), the double layer image shows edema (swelling) of the VF wall which is generally due to infection, this is confirmed by the presence of hypoechoic lesions and suspicion of abscess / pus there, including the possibility of pus in the tissues around the VF.
This condition strongly supports the diagnosis of acute cholecystitis /. gallbladder inflammation.
Initial treatment is the provision of adequate nutrition, pain relief, and appropriate antibiotics. The presence of an abscess / pus appearance makes surgery need to be considered because this condition will increase the risk of failure of therapy if only with antibiotics, and even if it gets better only with antibiotics, this kind of condition has a high probability of recurrence.
I think you need to discuss this with your internal medicine doctor whether a referral / consultation with a surgeon is needed to consider whether surgery can provide benefits in this condition, taking into account various things.
That is what I can say, hopefully this is useful.