Kolomiytsev V. I., Terletskiy O. M., Bufan M. M.


About the author:

Kolomiytsev V. I., Terletskiy O. M., Bufan M. M.



Type of article:

Scentific article


Aim. To evaluate and compare diagnostic capabilities of transabdominal ultrasonography, magnetic resonance cholangiopancreatography, endoscopic ultrasonography, endoscopic retrograde cholangiopancreatography and computed tomography in the diagnosis of choledocholithiasis in patients with acute calculous cholecystitis. Object and methods. A prospective study included 377 patients who were treated in the period of 2015-2018 with an acute calculous cholecystitis and suspected choledocholithiasis. The mean age of patients was 56.4±15.11 years and ranged from 19 to 87; there were 96 male (25.5%) and 281 female (74.5%) patients. In addition to clinical and laboratory studies, all patients underwent transabdominal ultrasonography and endoscopic retrograde cholangiopancreatography, and if clinically indicated during diagnostics – computed tomography, magnetic resonance cholangiopancreatography, endoscopic ultrasonography. Results. Sensitivity of transabdominal ultrasonography in the diagnosis of large (16-20 mm) stones was 83.3%, small ones (3-6 mm) – 52.3%, and overall diagnostic accuracy – 83.5%. The diagnostic capabilities of computed tomography with small stones are not higher than of transabdominal ultrasonography. Magnetic resonance cholangiopancreatography is not sufficiently sensitive (79.2%) for stones of 3-6 mm in size. Endoscopic ultrasonography is characterized by high informative value (sensitivity to small (3-6 mm) stones was 95.2%, overall sensitivity of 96.0%, overall diagnostic accuracy of 99.1%) and compares by informative value to endoscopic retrograde cholangiography. Conclusions. Transabdominal ultrasonography and computed tomography do not have high quality indices in the diagnosis of choledocholithiasis in patients with acute cholecystitis. Magnetic resonance cholangiopancreatography has high sensitivity, specificity, and diagnostic accuracy. Endoscopic ultrasonography is recommended only after using all the capabilities of non-invasive diagnostic techniques to confirm choledocholithiasis in patients with clinical and laboratory signs of the disease before the therapeutic intervention.


choledocholithiasis, transabdominal ultrosonography, computed tomography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, endoscopic ultrasonography.


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Publication of the article:

«Bulletin of problems biology and medicine» Issue 2 Part 1 (150), 2019 year, 236-242 pages, index UDK 616.366-002-003.7-036.11:616.366/.367-073.75].001.36