급성 복증에서 응급초음파검사의 역할

Abstract

PURPOSE : Authors analyzed the distribution of diseases and compared ultrasonographic conclusions withconfirmed diagnoses of emergency abdominal ultrasonographies in acute abdominal conditions. We evaluated the roleof emergency abdominal ultrasonography especially in the decision of emergency operation. MATERIAL & METHODS : Inone hundred and forty five patients, emergent abdominal ultrasonography was performedn within on admission. Wecompared the sonographic conclusion with postoperative pathology and analyzed the diagnoses of medically treateddiseases. RESULTS : Twenty-eight patients undervent surgery and 117 patients were treated conservatively. Amongthe surgically treated patients, 19 patients (70.4%) were correctly diagnosed by preoperative ultrasonography.These included acute appendicitis (N = 8), acute cholecystitis (n = 7), ovarian cyst torsion (n = 2), and liverabscess (n = 1). Correct preoperative diagnosis was not made in 9 patients, including acute appendicitis (n = 4),peritonitis due to bowel perforation (n = 2), ectopic pregnancy (n = 1), colonic diverticulitis (n = 1 ) andpelvic inflammatory disease (n = 1 ). Clinical follow up was possible in 50 patients among the non-operativepatient group, and the clinical diagnoses were chronic liver disease (n = 14), acute pyelonephritis (n = 10), andbiliary stone (n = 10). CONCLUSION : Emergent ultrasonography plays an important role in acute abdominalconditions by supporting the differential diagnosis of medical and surgical disease.