Ultrasound evaluation of gallbladder dimensions in healthy adults

Authors

  • Aska Faruk Jamal Department of Surgery, College of Medicine, Hawler Medical University, Erbil, Iraq.
  • Balen Salahaddin Muhammad Department of Surgery, College of Medicine, Hawler Medical University, Erbil, Iraq.
  • Sameeah Abdulrahman Rashid Department of Surgery, College of Medicine, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2022.010

Keywords:

Ultrasound, Gall bladder, Dimensions, Kurdistan, Erbil

Abstract

Background and objective: The gallbladder size, volume, and wall thickness can be affected by many disease processes. Therefore, there is a need to establish a baseline sonographic normogram of gallbladder dimensions and volume for early detection and follow-up of a diseased gallbladder. This study aimed to establish a baseline sonographic normogram for gallbladder volume and wall thickness in normal adults and its relationship with age, gender, and body mass index.

Methods: This prospective cross-sectional study was conducted on 400 normal adult subjects aged 18-73 years at the Radiology Department of Rizgary Teaching Hospital and Private Clinic in Erbil city, Kurdistan Region of Iraq. Gallbladder dimensions, including height, length, width, volume, and wall thickness, were measured by sonographic scanning of the subjects' gallbladder after an overnight fasting.

Results: Out of 400 subjects, 248 (62%) were male, and 152 (38%) were female. There was a slight difference between male and female gallbladder volume (29.87 ml for males and 26.5 ml for females) and wall thickness (2.53 mm for males and 2.46 mm for females), with the measurements slightly higher in males. A statistically significant variation was found between gender and age of participants with gallbladder height (ranging 2.4-3.06 cm), width (ranging 2.41-3.38 cm), volume (ranging 21.03-38.39 ml), and wall thickness (ranging 2.16-2.96 mm). A non significant correlation was found between the age and gender of participants with the length of the gallbladder (ranging 6.33-6.61 cm). A moderately significant correlation was found between gallbladder volume with height and weight of participants. A weak significant statistical relation was found between gallbladder volume and the body mass index of participants.

Conclusion: Normal gallbladder sonographic dimensions have been established in our locality to be used as a reference value for evaluating the healthy and diseased gallbladder. The mean volume for males was 29.87cm3, and for females was 26.57cm3. The mean wall thickness for males was 2.53mm and 2.46 mm for females. The mean height was 2.92cm for males and 2.76cm for females. The mean width was 2.93 cm for males and 2.78cm for females. The mean length was 6.54 cm for males and 6.46 cm for females.

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References

Talley NJ, Lindor KD, Vargas HE. Practical Gastroenterology and Hepatology: Liver and Biliary Disease 1st Edition. New York: Wiley-Blackwell; 2010.

Goldblum JR, Lamps LW, Mckenney J, Myers JL. Rosai and Ackerman’s Surgical Pathology-2. New York: Elsevier; 2017.

Wilson SR. The gastrointestinal tract. In: Rumack CM, Levine D, eds. Diagnostic Ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: chap 8.

Akintomide AO, Eduwem A. Ultrasonographic assessment of the fasting gallbladder volume in healthy adults in Calabar; Correlation with body weight. IOSR-JDMS. 2013;4:48–64. https://doi.org/10.9790/0853-0466468.

Barbosa AB, Souza L, Pereira R, D’Ippolito G. Gallbladder wall thickening at ultrasonography: How to interpret it. Radiol Bras. 2011;44:381–7. https://doi.org/10.1590/S0100-39842011000600010.

AIUM practice guideline for the performance of an ultrasound examination of the abdomen and/or retroperitoneum. J Ultrasound Med. 2012;31(8):1301–12. https://doi.org/10.7863/jum.2012.31.8.1301.

Pinto A, Reginelli A, Cagini L, Coppolino F, Stabile Ianora AA, Bracale R, et al. Accuracy of ultrasonography in the diagnosis of acute calculous cholecystitis: Review of the literature. Crit Ultrasound J. 2013;5(Suppl 1):S11. https://doi.org/10.1186/2036-7902-5-S1-S11.

ACEP Emergency Ultrasound Imaging Criteria Compendium. October 2014.(Accessed December 12, 2021, at https://www.acep.org/patient-care/policy-statements/Emergency-Ultrasound-Imaging-Criteria-Compendium).

Mohammed S, Tahir A, Ahidjo A, Mustapha Z, Franza O, OkoyeI, et al. Sonographic gallbladder wall thickness in normal adult population in Nigeria. SA J Radiology 2010;14:84–7.

Ewunonu EO. Sonographic evaluation of gallbladder dimension in healthy adults of a South-Eastern Nigerian population. JSIR 2016;25:96–9.

Idris N, Idris SK, Saleh MK, Suwaid MA, Tabari AM, Isyaku K, et al. Sonographic measurement of fasting gallbladder volume in healthy adults in North-west, Nigeria. Niger J Basic Clin Sci. 2016;13:23–9. https://doi.org/10.4103/0331-8540.174595.

Ugwu AC, Agwu KK. Ultrasound quantification of gallbladder volume to establish baseline contraction indices in healthy adults: A pilot study. South Afr Radiograph. 2010:48:9–12.

Adeyekun AA, UlkadikeI O. Sonographic evaluation of gallbladder dimensions in healthy adults in Benin City, Nigeria. West Afr J Radiol. 2013;20:4–8. https://doi.org/10.4103/1115-1474.117901.

Huang SM, Yao CC, Pan H, Hsiao KM, Yu JK, Lai TJ, et al. Pathophysiological significance of gallbladder volume changes in gallstone disease. World J Gastroenterol 2010;14:84–7. https://doi.org/10.3748/wjg.v16.i34.4341.

Stanisic V, Milicevic M, Kocev N, Stojanovic M, Vlaovic D, Babic I, et al. Prediction of difficulties in laproscopic cholecystectomy on the base of routinely available parameters in a smaller regional hospital. Eur Rev Med Pharmacol Sci. 2014;18:1204–11.

Lee NW, Collins J, Britt LD. Evaluation of preoperative risk factors for converting laproscopic to open cholecystectomy. Am Surg. 2012;78:831–3.

Yang TF, Guo L, Wang E. Evaluation of preoperative risk factor for converting laproscopic to open cholecystectomy: A meta-analysis. Hepatogastroenterology. 2014;61:958–65.

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Published

2022-04-25

How to Cite

Jamal, A. F., Muhammad, B. S., & Rashid, S. A. (2022). Ultrasound evaluation of gallbladder dimensions in healthy adults. Zanco Journal of Medical Sciences (Zanco J Med Sci), 26(1), 88–95. https://doi.org/10.15218/zjms.2022.010

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Original Articles