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Radiologisk diagnostik og behandlingaf akut kolecystitis

Ivan Arsic1, Jan Abrahamsen2, Lise Gammelgård1, Vilma Vainoriene1, Einar Pahle3 & Michael Festersen Nielsen3, 4 1) Røntgen og Skanning, Regionshospitalet Viborg 2) Klinisk Fysiologisk Afdeling, Regionshospitalet Viborg 3) Mave-, Tarm- og Brystkirurgisk Afdeling, Regionshospitalet Viborg 4) Department of Upper GI Surgery, Royal Infirmary of Edinburgh Ugeskr Læger 2017;179:V02170126
Ugeskr Læger 2017;179:V02170126
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Radiology diagnostics and treatment of acute cholecystitis
Acute cholecystitis (AC) is mainly caused by stones in the gall bladder. Although cholescintigraphy has the highest sensitivity (97%) and specificity (94%) for AC, ultrasound is the most commonly used technique in confirming the diagnosis. Laparoscopic cholecystectomy is the recom­mended treatment of choice; however, in high-risk patients percutaneous gall bladder drainage is an attractive alter­native approach to avoid lesions to the common bile duct. To avoid serious bleeding incidences, it is imperative to pause anticoagulation therapy prior to gall bladder drainage.

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