Related Experiment Videos
Acute cholecystitis as a complication in surgical patients
Archives of Surgery (Chicago, Ill. : 1960)
|December 1, 1984
Summary
Acute cholecystitis, a serious complication after surgery or trauma, affects about 1 in 10,000 procedures. Elderly men with prior complications are at higher risk, often presenting with gallbladder gangrene and perforation.
Area of Science:
- Gastroenterology
- Surgical Complications
- Trauma Surgery
Background:
- Acute cholecystitis post-operation or trauma carries high mortality (10-50%).
- This complication occurs in approximately 1 in 10,000 surgical procedures.
- Elderly men with antecedent complications face increased risk.
Purpose of the Study:
- To examine the characteristics and incidence of acute cholecystitis following operation or trauma.
- To identify risk factors and common presentations of this condition.
- To emphasize diagnostic challenges and treatment strategies.
Main Methods:
- Retrospective review of 75 patients over a 16-year period at Mayo Clinic.
- Analysis of patient demographics, antecedent conditions, and injury types.
- Evaluation of diagnostic methods and treatment outcomes.
Main Results:
- Acalculous cholecystitis with gangrene/perforation was more common.
- Diagnosis is challenging in post-operative patients, relying on clinical signs.
- Cholecystectomy remains the primary treatment modality.
Conclusions:
- High index of suspicion is crucial for early diagnosis in surgical patients with abdominal pain or fever.
- Prompt surgical intervention is indicated once diagnosis is confirmed.
- Cholescintigraphy may aid future diagnoses.