Akut akalkulos kolecystit

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

Acute acalculous cholecystitis (AC) is an inflammatory process of the gallbladder, often caused by other severe diseases. The etiology is multifactorial, but the pathogenesis is in all cases a reduction in the gallbladder's emptying capacity. The mortality of AC reaches 85% without treatment. This fact makes it important to consider AC as a possible complication to major surgery, multi-trauma, and artificial ventilation. Symptoms resemble "normal" cholecystitis, but may be masked by the underlying severe disease. Fever without known focus may be the only symptom. Ultrasound, CT-scanning or cholangiography are used to verify the diagnosis, supplemented by laboratory investigations. Treatment is cholecystectomy. Percutaneous ultrasonic guided cholecystotomy is a good alternative if the diagnosis made in an early stage. The mortality is considerably reduced by early intervention.

Detaljer

Författare
Enheter & grupper
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Anestesi och intensivvård
Bidragets titel på inmatningsspråkAcute acalculous cholecystitis
Originalspråkdanska
Sidor (från-till)3311-3314
TidskriftUgeskrift for Læger
Volym156
Utgåva nummer22
StatusPublished - 1994
PublikationskategoriForskning
Peer review utfördJa