Role of ultrasound in the diagnosis of gallbladder disorders in KSA - Asian patients in associated of nationality and occupation

Background: Ultrasound is the important imaging investigation used to diagnose gallbladder and bile duct diseases.

Objectives: This study was undertaken to assess gallbladder disorders in Asian patients and the correlation of gallbladder disease among Saudis compared to other Asian nationalities in addition to the measurement of GB length, width and volume (cm 3) measured using the ellipsoid formula to assess morphology of biliary in concentration and after fatty meal in in Al-Majmaah Province of Saudi Arabia.

Materials and Methods: This was a cross-sectional descriptive analysis of 103 patients with gallbladder disorders from the Al-Majmaah Province of Saudi Arabia using SPSS statistical software.

Results: The gallbladder stone increased in female patient over 40 years (70%) (33 patients out of 47), while the incidence in female patients less than 40 years old (50%) (28 patients out of 56). This study also Reported that 59.2% is incidence of gallbladder stone, 37 patients (60%) out of the 61 patients with gallstones developed Calculous Cholecystitis 40% of the patient had Acalculous Cholecystitis. Symptoms and signs of the patients in study represented in the right upper quadrant RUQ pain 48.5%of patients, was found to be significantly larger in gallbladder stones. Increased incidence of gallstone among Drivers (80%) 8 drivers out of 10 developed gallstones. Also we can notice the increase of gallstones among the 8 female housewives out of 13, and also noticed that 8 out of 12 housemaid patients had incidence of gallstones.

Conclusion: The gall stone represent the high incidence disease compared with other gallbladder pathology. The Incidences of sludge polyp, Acalculous cholesystitis and carcinoma of gallbladder are relatively low. In KSA and according to this study the sign and symptoms of cholelithiasis and cholecystitis almost is RUQ pain.