Profil Sonografis Cholelithiasis pada Pemeriksaan Ultrasonografi Abdomen di RS Siloam Sriwijaya Palembang: Seri Kasus

Abdul Karim  Fikri; Harry  Wahyudhy; Zanariah

doi:10.52120/jlik.v1i1.103

Penulis

Abdul Karim Fikri Universitas Kader Bangsa, Indonesia Penulis
Harry Wahyudhy Universitas Kader Bangsa, Indonesia Penulis
Zanariah Universitas Kader Bangsa, Indonesia Penulis

DOI:

https://doi.org/10.52120/jlik.v1i1.103

Kata Kunci:

Cholelithiasis, Kandung empedu, Ultrasonografi abdomen

Abstrak

Cholelithiasis merupakan salah satu kelainan hepatobilier yang paling sering ditemukan pada praktik klinis, dengan ultrasonografi (USG) abdomen sebagai modalitas lini pertama dalam evaluasi awal. Penelitian ini bertujuan untuk mendeskripsikan karakteristik sonografis cholelithiasis pada pemeriksaan USG abdomen di Instalasi Radiologi Rumah Sakit Siloam Sriwijaya Palembang. Penelitian ini menggunakan desain deskriptif observasional dengan pendekatan seri kasus yang melibatkan sepuluh pasien (n = 10) dengan temuan cholelithiasis pada pemeriksaan USG abdomen selama periode Mei–Juni 2025. Data yang dianalisis mencakup citra sonografis dan laporan radiologi yang telah tervalidasi secara klinis. Hasil penelitian menunjukkan variasi pola sonografis berupa fokus hyperechoic intraluminal, posterior acoustic shadowing, variasi ukuran batu antara 6,4 mm hingga ±1,57 cm, serta temuan impaksi batu pada gallbladder neck. Enam pasien menunjukkan batu tunggal dan empat pasien menunjukkan batu multipel. Temuan ini konsisten dengan karakteristik sonografis cholelithiasis dalam literatur radiologi dan menegaskan peran USG abdomen sebagai modalitas utama dalam deteksi batu kandung empedu. Penelitian ini memberikan gambaran profil sonografis cholelithiasis pada tingkat fasilitas pelayanan radiologi dan dapat menjadi rujukan bagi evaluasi diagnostik serta praktik pelaporan radiologi yang lebih terstruktur.

Unduhan

Data unduhan tidak tersedia.

Referensi

Cocco, G., Basilico, R., Delli Pizzi, A., Cocco, N., Boccatonda, A., D’Ardes, D., Fabiani, S., Anzoletti, N., D’Alessandro, P., Vallone, G., Cipollone, F., & Schiavone, C. (2021). Gallbladder polyps ultrasound: what the sonographer needs to know. Journal of Ultrasound, 24(2), 131–142. https://doi.org/10.1007/s40477-021-00563-1

Damayanti, D., Armaijn, L., & Supriyatni, N. (2025). Clinical Symptoms Of Cholelithiasis And Abdominal Ultrasound Findings In The Radiology Installation Of RSD. Indonesian Journal of Global Health Research, 7(2), 487–492.

Evanson, D. J., Elcic, L., Uyeda, J. W., & Zulfiqar, M. (2025). Imaging of gallstones and complications. Current Problems in Diagnostic Radiology, 54(3), 392–403. https://doi.org/https://doi.org/10.1067/j.cpradiol.2024.12.007

Fujita, N., Yasuda, I., Endo, I., Isayama, H., Iwashita, T., Ueki, T., Uemura, K., Umezawa, A., Katanuma, A., Katayose, Y., Suzuki, Y., Shoda, J., Tsuyuguchi, T., Wakai, T., Inui, K., Unno, M., Takeyama, Y., Itoi, T., Koike, K., & Mochida, S. (2023). Evidence-based clinical practice guidelines for cholelithiasis 2021. Journal of Gastroenterology, 58(9), 801–833. https://doi.org/10.1007/s00535-023-02014-6

Huang, S.-S., Lin, K.-W., Liu, K.-L., Wu, Y.-M., Lien, W.-C., & Wang, H.-P. (2023). Diagnostic performance of ultrasound in acute cholecystitis: a systematic review and meta-analysis. World Journal of Emergency Surgery, 18(1), 54. https://doi.org/10.1186/s13017-023-00524-5

Kamaya, A., Fung, C., Szpakowski, J.-L., Fetzer, D. T., Walsh, A. J., Alimi, Y., Bingham, D. B., Corwin, M. T., Dahiya, N., Gabriel, H., Park, W. G., Porembka, M. R., Rodgers, S. K., Tublin, M. E., Yuan, X., Zhang, Y., & Middleton, W. D. (2022). Management of Incidentally Detected Gallbladder Polyps: Society of Radiologists in Ultrasound Consensus Conference Recommendations. Radiology, 305(2), 277–289. https://doi.org/10.1148/radiol.213079

Lucius, C., Braden, B., Jenssen, C., Möller, K., Sienz, M., Zervides, C., Essig, M. W., & Dietrich, C. F. (2025). Ultrasound of the Gallbladder-An Update on Measurements, Reference Values, Variants and Frequent Pathologies: A Scoping Review. Life (Basel, Switzerland), 15(6). https://doi.org/10.3390/life15060941

Mahdi, S. A., & Jaafar, I. (2024). Gallbladder diseases detected by ultrasound and correlated risk factors. Academic Radiology, 19, 137–141. https://doi.org/10.37897/RJMP.2024.2.1

Mencarini, L., Vestito, A., Zagari, R. M., & Montagnani, M. (2024). New Developments in the Ultrasonography Diagnosis of Gallbladder Diseases. In Gastroenterology Insights (Vol. 15, Issue 1, pp. 42–68). https://doi.org/10.3390/gastroent15010004

Ning, Q., Liu, F., Fang, Y., Zhu, X., Liu, J., & Li, Z. (2025). Estimating global prevalence of gallbladder stones in general population from 2000 to 2024: systematic review and meta-analysis. Annals of Medicine, 57(1), 2570795. https://doi.org/10.1080/07853890.2025.2570795

Patel, R., Tse, J. R., Shen, L., Bingham, D. B., & Kamaya, A. (2024). Improving Diagnosis of Acute Cholecystitis with US: New Paradigms. RadioGraphics, 44(12), e240032. https://doi.org/10.1148/rg.240032

Thangaraj, P., Jayagopalan, V., & Selvaraju, S. (2025). Original Research Article Prevalence of Asymptomatic Gallstone during Routine Ultrasonography and its Associated Factors : Cross-Sectional Study from a Tertiary Care Teaching Hospital. GAIMS Journal of Medical Sciences, 5(1), 117–122.

Wang, H. H., Portincasa, P., Liu, M., Tso, P., & Wang, D. Q.-H. (2018). Similarities and differences between biliary sludge and microlithiasis: Their clinical and pathophysiological significances. Liver Research (Beijing, China), 2(4), 186–199. https://doi.org/10.1016/j.livres.2018.10.001

Wu, X., Li, K., Kou, S., Wu, X., & Zhang, Z. (2024). The Accuracy of Point-of-Care Ultrasound in the Detection of Gallbladder Disease: A Meta-analysis. Academic Radiology, 31(4), 1336–1343. https://doi.org/https://doi.org/10.1016/j.acra.2023.09.029