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Casper S. deGraaff, MD; Alan G. Dembner, MD; Kenneth J. W. Taylor, MD, PhD

Arch Surg. 1978;113(7):877-879.

Abstract
• Although oral cholecystography is a highly accurate investigation for the diagnosis of gallbladder disease, false normal examinations do occur. In other patients, the presence of jaundice, nausea, or vomiting may preclude oral cholecystography. When there is clinical suspicion of gallbladder disease with a normal or equivocal oral cholecystogram, ultrasound examination is a highly accurate alternative imaging procedure. We describe in this article three patients with apparently normal oral cholecystography who were found to have obvious gallstones on ultrasound examination and at surgery. The relative accuracy of these diagnostic procedures is reviewed and their place in the diagnosis of biliary tract disease is discussed.

(Arch Surg 113:877-879, 1978)

Author Affiliations
From the Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, Conn.

Footnotes
Accepted for publication Feb 10, 1978.

Reprint requests to Department of Radiology, Yale University School of Medicine, 333 Cedar St, New Haven, CT 06510 (Dr Taylor).