급성 담낭염 진단시 Rim Sign의 의의

Rim Sign in Aucte Cholecystitis

  • 고은미 (서울대학교 의과대학 내과학교실) ;
  • 이경한 (서울대학교 의과대학 내과학교실) ;
  • 양승오 (서울대학교 의과대학 내과학교실) ;
  • 정준기 (서울대학교 의과대학 내과학교실) ;
  • 이명철 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실)
  • Koh, Eun-Mi (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Kyung-Han (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Yang, Seoung-Oh (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Chung, June-Key (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Myung-Chul (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Koh, Chang-Soon (Department of Internal Medicine, College of Medicine, Seoul National University)
  • 발행 : 1989.05.31

초록

The "rim sign" is a rim of increased hepatic activity adjacent to the gall bladder fossa and known as an useful indicator of acute cholecystitis. Also, many reports suggested that if rim sign is positive there is an increased risk for complications such as perforation and gangrene. To evaluate the usefulness of this rim sign, we reviewed 32 cases that were pathologically confirmed. The incidence of rim sign was 47% similar to other reports but with our results, the rim sign was not specific to acute cholecystitis nor indicator of increased risk for complications.

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