Abstract
Aiming at improving the diagnostic accuracy not to overlook irreversible cholecystitis such as gangrenous cholecystitis, 21 cases operated on for acute cholecystitis at the hospital in a recent 6-year period were studied for each histological finding of the excised specimens in terms of diagnostic accuracy.
The results were: In judging the degree of inflammation in acute cholecystitis leukocytes counts at the first visit, characteristics of the gallbladder wall by ultrasonography and serial-ultrasonography, swelling of the gallbladder by serial-ultrasonography, and observation of debris changes were useful. Such a case, in which gallbladder swelling increases, debris in the gallbladder does not disappear, and irregular gallbladder wall is observed, is strongly indicated to be of gangrenous cholecystitis.
