Journal of Korean Society of Medical Ultrasound 1982;1(1): 49-55.
A Clinical Observation of Ultrasonographic Diagnosis on Right upper Quadrant Pain
Suck Hong Lee
Department of Radiology, College of Medicine, Busan National University
ABSTRACT
The author analyzed a total of 127 cases of ultrasonography studied for evaluation of the causes of rightupper quadrant pain during ten months from Feb.1 to Nov. 30 1981, at the department of radiology, Busan nationaluniversity and St. Benedict hospital. The results were as follows: 1. ultrasonographic findings of the total of127 cases are normal in 41(32.3%) cases, and abnormal in 86(67.6%) cases. 2. Clinical diagnosis of normalultrasonographic cases is unknown in 15(36.6%) cases, hepatitis in 10(24.3%) cases, pancreatitis in 6(14.6%) case,enterocolitis in 5(12.1%) cases, acute gastritis in 3(7.5%), acute pyelonephritis in 1(2.4%) case, andclonorchiasis in 1(2.4%) case. 3. Pathological diagnosis of 50 cases out of 86 cases of abnormal ultrasonographyis GB stone in 36(72.0%) cases, pancreatic cancer in 5(10.0%) cases, hepatoma in 3(6.0%) cases, CBD stone in4(8.0%) cases, pancreatic pseudocyst in 1(12.9%) case and liver abscess in 1(2.0%) case. 4. Diagnostic accuracy ofultrasonography of GB stone was 91.7%, false positive 2.8% and false negative 6.6%. 5. Ultrasonography has theadvantage of noninvasiveness and easy performance, but the diagnostic accuracy of ultrasonography alone was low.Ultrasonography is considered as a good screening and complemntary method for evaluation of right upper quadrantpain.
Keywords: abdomen, US studies
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