Assessment of ultrasound findings in gallstone disease and destructive cholecystitis in a prospective study in the Kyrgyz Kepublic
DOI:
https://doi.org/10.52754/16948610_2026_1_1%20Keywords:
destructive cholecystitis, ultrasound diagnostics, gallbladder morphometry, Doppler sonography, gallstones, biliary hypertensionAbstract
Relevance. Acute destructive cholecystitis remains one of the most pressing problems in emergency abdominal surgery. Despite the widespread use of ultrasound diagnostics, issues of standardizing criteria for assessing various forms of gallbladder inflammation require further study. This article examines how a comprehensive ultrasound assessment of the morphometric parameters of the gallbladder, the condition of its wall, the characteristics of stones, and Doppler blood flow parameters was performed. Pathognomonic ultrasonographic patterns for various forms of cholecystitis are also identified. Significant hemodynamic changes in the cystic artery are revealed in destructive forms. Age-related characteristics of gallbladder morphometry in the control group are determined. A predominance of multiple small stones (82%) up to 10 mm in size is established. Ultrasound examination is a highly informative method for differential diagnosis of various forms of destructive cholecystitis, allowing for an objective assessment of the nature of inflammatory changes and the determination of optimal surgical tactics.
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