M. Pogonowska, L. C. Collins
Jul 1, 1969
Citations
0
Influential Citations
3
Citations
Journal
Radiology
Abstract
The purpose of this study is to increase the diagnostic significance of an initially “nonvisualized gallbladder.” Failure to visualize the gallbladder during a routine oral cholecystography is only presumptive evidence of gallbladder disease. For any number of reasons (2, 6) a normal gallbladder may not be visualized on the cholecystogram. Immediate administration of ipodate4 calcium to all patients who had an initially nonvisualized or poorly visualized gallbladder has, in our experience, significantly increased the percentage of positive diagnoses. In some cases it provided a good study of the common bile duct and reliable evidence of cystic duct obstruction. The calcium salt of ipodate is rapidly absorbed from the gastrointestinal tract and can be seen in the biliary tree and in the gallbladder within two or three hours after ingestion (3, 4, 7, 8). Thus, it provides further diagnostic information quickly and without necessity of intravenous injection. We shall describe our procedure for both routine c...