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Grey-Scale Ultrasonography in the Differential Diagnosis of Jaundice
Kenneth J. W. Taylor, MD, PhD;
Arthur T. Rosenfield, MD
Arch Surg. 1977;112(7):820-825.
Abstract
• One hundred fifty patients with cholestatic jaundice were studied prospectively by grey-scale ultrasonography. All patients had a diagnosis established by subsequent biopsy, autopsy, or surgery. Using the presence or absence of a dilated biliary tree as the criterion, the intrahepatic or extrahepatic nature of the jaundice was correctly differentiated in 145 of 150 patients, an accuracy of 97%. All 64 of the patients with intrahepatic jaundice were correctly identified. Five of the 86 remaining patients, each of whom had gallstones, were misdiagnosed. In eighty-two patients (54.7%), the specific etiology was diagnosed. Ultrasound is an accurate method for the evaluation of jaundice and would appear to have a definite value as a screening procedure before proceeding to more invasive studies.
(Arch Surg 112:820-825, 1977)
Author Affiliations
From the Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, Conn.
Footnotes
Accepted for publication March 1, 1977.
Reprint requests to Department of Diagnostic Radiology, Yale University School of Medicine, 333 Cedar St, New Haven, CT 06510 (Dr Taylor).
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