Diagnostic Efficiency of Trans-abdominal Ultrasound and CT in Diagnostics of Gall and Gall Tract Diseaaes in General Hospital Tesanj
Rifat Sejdinovic, Suad Sivic, Ljiljana Sejdinovic, Nizama Salihefendic, Besim Prnjavorac, Omer Bedak, Jasmin Fejzic, Jusuf Mehic.
Gall disease and gall tract diseases, except anamnesis characteristics, physical examination and biochemical findings, require application of modern visual technology which with its high sensitivity and specificity allows quick, accurate and verifiable diagnosis and favorable outcome of disease, a false positive and false negative findings are reduced to a very low percentage. Data from the literature shows the sensitivity of Transabdominal ultrasound (TUS) up to 90% and specificity from 20 to 85%, while CT shows sensitivity up to 87% and specificity up to 90%. In our research, which included 366 patients with gall and gall tract pathology and 147 of them were treated surgically, shows TUS sensitivity up to 87.5%, but the low specificity of 28.5%, mainly caused by a large number of patients with gall tract pathology. CT shows high sensitivity of 100% and 100% specificity, which diverge from data from the literature because CT was done after TUS and with the selection of diagnostically complicated cases. In all these complicated cases surgical findings have confirmed CT diagnosis. From this we can conclude that the application of image technology allows fast and accurate diagnostic and treatment of gall and gall tracts.
gall disease, gall tract disease, TUS, CT, specificity, sensitivity