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KMID : 0378019640070030053
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New Medical Journal
1964 Volume.7 No. 3 p.53 ~ p.60
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Correlation Between Hepatic and Biliary Tract Damage and Gall Bladder Visualization by Oral Cholecystography
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宋益薰/Song, Ik Hoon
鄭煥國/文世光/趙宗秀/Chung, Hwan Kook/Moon, Sae Kwang/Jo, Jong Soo
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Abstract
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Observations were made on the interrelationships between clinical and laboratory findings and oral cholecystograpy by "Telepaque", in 8 cases of normal Korean male as control group, 8 cases of icteric hepatitis, 33 cases of anicteric hepatitis, 4 cases of cirrhosis and additional 12 cases of superimposed Clonorchis sinensis infestation.
The results were as follows:
1. The possible gall bladder visualization was 100% in normal group, and that of 68.4%(39 out of 57 cases) in liver diseased group.
2. The gall bladder visualization was started from 2 hours and the entire cases were visualized from 6 hours after the administration of dye in normal group, but favorable visualization was seen after 12 hours since the administration of dye in diseased group.
3. The size of normal Korean gall bladder picture was measured 3 to 7cm. in length and 1.5 to 4 cm. in width in upright position.
4. The shapes of gall bladder in upright position among diseased group were in following order: 35.2% of long egg plant shape, 24.3 % of short egg plant and pear shape in each, 10.8 % of elliptoid, 27.7 % of oval and sausage shape in each. And the highest incidence was 37.5% of ´long egg plant _shape in normal group.
5. The gall bladder location in upright position was partly below the liver in the vertical or oblique position in 63.2% and also 62.5% in normal control group.
6. 37.5%(3 out of 8 cases) of icteric hepatitis, 15.2%(5 out of 33 cases) of anicteric hepatitis, 25.0%(10 out of 4 cases) of cirrhosis, and 75.0%(9 out of 12 cases) of superimposed ;Clonorchis sinensis infested cases were non-visualized, and the only visualized case with superimposed Clonorchis sinensis infection gave hydropsed picture measuring llcm. in length and 4cm. in width. The condition of gall bladder visualization bladder most paralleled the severif!, ohepatic parenchymal damage, however it was more´the alterations of gall bladder and biliary tract Except SGP-T, there ,were no definiterelationships betwen C.C.F., T.T.T., A/G rvisualization; abnormal elevation of SGP-T activity´ was seen in 50% of non-visualized cases.
Total serum cholesterol and B.S.P. were much more influential than SGP-T in gall bladder visualization, non-visualized cases showed 100% abnormal elevation of total serum cholesterol and 80~ that of B.S.P. In the cases of showing above 5.Omg%. of serum bilirubin failed in visualizing gall´ bladder.
8. Frequency of side reactions were; pseudoalbuminuria(68.9%), abdominal pain(32.7%), diarrhea(29. 3%), headache(25.9%), oliguria(18.9%), and nausea(13.8%) in order.
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