Acute cholecystitis as a complication in surgical patients.
Publication/Presentation Date
12-1-1984
Abstract
Acute cholecystitis after operation or trauma is associated with reported mortalities of 10% to 50%. During a 16-year period at the Mayo Clinic, Rochester, Minn, 75 such patients were examined, eight of whom had traumatic injuries. The incidence of this complication was approximately one for every 10,000 surgical procedures. In contrast with acute cholecystitis that occurs de novo, elderly men who had other antecedent complications seemed to be at an increased risk. Also, acalculous cholecystitis with associated gangrene and perforation of the gallbladder was more commonly encountered. The diagnosis is difficult to establish in patients who have had recent abdominal operations and is based on physical signs and symptoms, although cholescintigraphy will be of value in future cases. The most common treatment is cholecystectomy. Clinicians must maintain a high index of suspicion and carefully examine any surgical patient in whom abdominal pain or unexplained fever develops. Once the diagnosis is confirmed, early operative intervention is indicated.
Volume
119
Issue
12
First Page
1389
Last Page
1393
ISSN
0004-0010
Published In/Presented At
Devine, R. M., Farnell, M. B., & Mucha, P., Jr (1984). Acute cholecystitis as a complication in surgical patients. Archives of surgery (Chicago, Ill. : 1960), 119(12), 1389–1393. https://doi.org/10.1001/archsurg.1984.01390240027005
Disciplines
Medicine and Health Sciences
PubMedID
6508524
Department(s)
Department of Surgery
Document Type
Article