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Acute acalculous cholecystitis.

R J Goris

    The Netherlands Journal of Surgery
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Acute acalculous cholecystitis occurred in 1.7% of cholecystectomies between 1973-1983. Positive bile cultures were common, and gallbladder necrosis necessitates prompt cholecystectomy when feasible.

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    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Acute acalculous cholecystitis (AACC) is a gallbladder inflammation without gallstones.
    • Its occurrence and management, particularly in non-critically ill patients, require further elucidation.

    Purpose of the Study:

    • To analyze the incidence and characteristics of AACC.
    • To evaluate the clinical presentation and outcomes of AACC.
    • To discuss the pathogenesis, prevention, and diagnosis of AACC.

    Main Methods:

    • Retrospective review of 21 AACC cases from 1973 to 1983.
    • Comparison with 1211 performed cholecystectomies during the same period.
    • Analysis of clinical data, including patient conditions and bile cultures.

    Main Results:

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    • AACC incidence was 1.7% among cholecystectomies.
    • Only 9 of 21 patients had a life-threatening condition; 12 had no predisposing illness.
    • All cultured bile samples were positive, and gallbladder necrosis was frequent.

    Conclusions:

    • AACC can occur in patients without critical illness.
    • Positive bile cultures are consistently found in AACC.
    • Early cholecystectomy is recommended due to high rates of gallbladder necrosis.