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Acute acalculous cholecystitis following trauma
The British Journal of Surgery
|August 1, 1982
Summary
Post-traumatic acute acalculous cholecystitis, a rare condition, requires early diagnosis and surgical intervention. Cholecystectomy is crucial for managing this condition, which carries significant morbidity and mortality risks.
Area of Science:
- Gastroenterology
- Trauma Surgery
- Surgical Pathology
Background:
- Post-traumatic acute acalculous cholecystitis is a rare but serious complication.
- It often occurs in patients with severe trauma or recent gastrointestinal surgery.
Purpose of the Study:
- To review a series of patients with post-traumatic acute acalculous cholecystitis.
- To emphasize the importance of early diagnosis and surgical management.
Main Methods:
- Retrospective review of 11 consecutive patients diagnosed with post-traumatic acute acalculous cholecystitis.
- All patients underwent cholecystectomy.
Main Results:
- 11 patients were identified, with causes including multiple trauma and recent surgeries.
- Cholecystectomy was performed, but complications like abscesses and hemorrhage necessitated reoperation in several cases.
- The mortality rate was 18%.
Conclusions:
- Early diagnosis and prompt surgical intervention, specifically cholecystectomy, are vital for managing post-traumatic acute acalculous cholecystitis.
- This condition is associated with high morbidity and mortality, underscoring the need for timely treatment.