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Research Paper | Diagnostic Radiology | Tanzania | Volume 12 Issue 4, April 2023
Common Sonographic Findings and Related Clinical Presentations in Patients with Gallbladder Diseases at Muhimbili National Hospital
Dr. Loyce Bagenda
Abstract: Gallbladder diseases are increasing in Africa, due to alterations in bile composition and biliary function. About 20% cholecystectomies are performed due to cholelithiasis and 7.6% due to gallbladder carcinoma in Africa. In Tanzania the diagnosis of gallbladder diseases mostly base on clinical assessment which is associated with misdiagnoses. Understanding the common sonographic findings and related clinical presentations of gallbladder diseases in our setting is important in guiding appropriate management of the patients and prevention of complications of the diseases. A prospective cross sectional hospital-based study was conducted to determine common sonographic findings and related clinical presentations in patients with gallbladder diseases attending ultrasound unit at Muhimbili National Hospital (MNH). A total of 78 patients who presented with clinical features of gallbladder diseases at MNH Radiology department ultrasound unit from October to December 2022 were involved in the study. A questionnaire was used to collect data from the patient clinical files. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 20. Statistical association was done by using cross tabulations. Chi-square test and fisher?s test was used to compare proportions. P value of < 0.05 was considered statistically significant. Sixty-five of patients (83.3%) had gallbladder diseases, of which 55.1% had cholelithiasis and 23.1% had acute cholecystitis. The common sonographic findings were intraluminal echogenic masses 51 (65.4%), shadowing and mobility 43 (55.1 %) and sonographic Murphy's sign18 (23.4%). Abdominal ultrasound should be used as initial modality in the diagnosis of gallbladder diseases for proper diagnosis and management of patients.
Keywords: Sonographic Findings, Clinical Presentations, Gallbladder Diseases, Muhimbili
Edition: Volume 12 Issue 4, April 2023,
Pages: 1590 - 1595