Morphine-augmented cholescintigraphy in acute cholecystitis. A satisfactory alternative to delayed imaging.

Abstract:

:The utility of morphine-augmented cholescintigraphy was reviewed in 32 patients with suspected acute cholecystitis. All patients were administered 2 mg morphine sulfate intravenously when the gallbladder failed to visualize 30 minutes into the study, and imaging continued for up to 60 minutes. Sensitivity for detection of acute cholecystitis was 93% (13 out of 14). Specificity was 78% (14 out of 18). Three of four false-positives occurred in the setting of prolonged fasting and chronic cholecystitis. Cumulative experience suggests that the technique is diagnostically equivalent to imaging for up to 4 hours and that specificity remains incomplete in the setting of prolonged fasting, chronic cholecystitis and other conditions known to affect conventional cholescintigraphy.

journal_name

Clin Nucl Med

authors

Kistler AM,Ziessman HA,Gooch D,Bitterman P

doi

10.1097/00003072-199106000-00004

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

404-6

issue

6

eissn

0363-9762

issn

1536-0229

journal_volume

16

pub_type

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