Intensive Care Medicine

, Volume 22, Issue 4, pp 356–358

Gallbladder abnormalities in medical ICU patients: An ultrasonographic study

  • F. Molenat
  • A. Boussuges
  • V. Valantin
  • J. M. Sainty
Brief Report

DOI: 10.1007/BF01700459

Cite this article as:
Molenat, F., Boussuges, A., Valantin, V. et al. Intensive Care Med (1996) 22: 356. doi:10.1007/BF01700459

Abstract

Patients in the intensive care unit (ICU) have many risks factors for gallbladder stasis or acute acalculous cholecystitis (ACC), including fasting, total parenteral nutrition, sedation, mechanical ventilation, infection and shock. We have performed a prospective study to estimate the prevalence of ultrasonographic gallbladder abnormalities in 30 consecutive medical ICU patients during the first 2 days of their stay in the ICU. Two patients had previously undergone cholecystectomy and were excluded from the study. Seventeen (61%) of the remaining 28 patients presented with gall-bladder abnormalities. Considering three major criteria of ACC, 14 patients (50%) presented with either sludge (25%), wall thickening (22%) or hydrops (11%). However, none of the patients needed a surgical procedure during the study because of gallbladder disease. We conclude that an important proportion of ICU patients presented with gallbladder abnormalities shown by ultrasonography and that this may have implications for establishing a diagnosis of ACC using ultrasonographic criteria.

Key words

Gallbladder ICU Ultrasonography 

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • F. Molenat
    • 1
  • A. Boussuges
    • 1
  • V. Valantin
    • 2
  • J. M. Sainty
    • 1
  1. 1.Service de Réanimation Médicale et d'HyperbarieHôpital SalvatorMarseille, Cedex 9France
  2. 2.Service d'Hépatologie et de Gastro-EntérologieHôpital Sainte-MargueriteMarseilleFrance

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