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Acute acalculous cholecystitis after radical cystectomy
The Journal of Urology
|January 1, 1988
Summary
Acute acalculous cholecystitis can occur after radical cystectomy and urinary diversion. Early diagnosis with isotopic cholescintigraphy and surgical treatment via cholecystectomy are crucial for better patient outcomes.
Area of Science:
- Urology
- Surgical Oncology
- Gastroenterology
Background:
- Radical cystectomy and urinary diversion are complex procedures.
- Acute acalculous cholecystitis is a rare but serious complication.
- Continent urinary diversion techniques include Kock reservoir and ileocecal bladder replacement.
Observation:
- Two cases of acute acalculous cholecystitis were observed post-radical cystectomy.
- Patients underwent different types of continent urinary diversion.
- Symptoms presented in the postoperative period.
Findings:
- Isotopic cholescintigraphy proved effective in diagnosing the condition.
- Cholecystectomy was identified as the optimal treatment strategy.
- Conservative management was associated with high mortality rates.
Implications:
- Highlights the importance of considering cholecystitis in patients with abdominal pain post-cystectomy.
- Emphasizes the diagnostic utility of isotopic cholescintigraphy.
- Supports prompt surgical intervention for acute acalculous cholecystitis in this patient population.