{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T14:04:27Z","timestamp":1789999467843,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The CT scan has supplanted the abdominal ultrasound for emergency examinations. A comparison of CT scan and ultrasound performance for the diagnosis and management of acute cholecystitis in acute care was proposed. The hypothesis is that the CT scan may be sufficient for the diagnosis of acute cholecystitis, which would allow faster progress to surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The retrospective study of consecutive patients operated for acute cholecystitis or gallbladder distension with pre\u2010operative imaging within 48 h in one centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 2015 and 2017, a total of 341 cholecystectomies were performed in our centre. The analysis involved 120 patients. Ultrasound had better sensitivity than the CT scan, respectively, 79.4% [70.5\u201386.6] and 52.3% [42.5\u201362.1], but less specificity, with 61.5% [31.6\u201386.1] and 92.3% [64.0\u201399.8], respectively. However, there was a significant difference in favour of the CT scan for the diagnosis of complicated cholecystitis (<jats:italic>p<\/jats:italic> 0.004). The positive likelihood ratio of complicated cholecystitis is better at CT scan (7.8) [2.7\u201323.1] than in ultrasound (1.0) [0.1\u20139.7]. CT scan and ultrasound are equivalent for the diagnosis of acute cholecystitis, but CT scan is more efficient for the diagnosis of complicated cases (Youden index J 0.3 vs 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is possible to place the surgical indication of cholecystectomy on the only data of the CT scan. We propose a decision\u2010making algorithm that uses the CT scan to make the diagnosis and decide on emergency treatment for complicated cases or that allows us to propose a delayed surgery for simple cholecystitis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05404-6","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T17:03:01Z","timestamp":1581008581000},"page":"1779-1789","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Evaluation of the CT Scan as the First Examination for the Diagnosis and Therapeutic Strategy for Acute Cholecystitis"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7647-4884","authenticated-orcid":false,"given":"S.","family":"Martellotto","sequence":"first","affiliation":[{"name":"Digestive Surgery Service Intercommunal Hospital Center of Cr\u00e9teil 40 Avenue de Verdun 94000 Creteil France"},{"name":"Digestive and Cancer Surgery Service AP\u2010HP, Lariboisi\u00e8re Hospital 2 rue Ambroise Par\u00e9 75010 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Dohan","sequence":"additional","affiliation":[{"name":"Service de Radiologie AP\u2010HP, H\u00f4pital Cochin 27 rue du Faubourg Saint Jacques 75014 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Pocard","sequence":"additional","affiliation":[{"name":"Digestive and Cancer Surgery Service AP\u2010HP, Lariboisi\u00e8re Hospital 2 rue Ambroise Par\u00e9 75010 Paris 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