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Acute acalculous cholecystitis

A G Hill1, J P Collins

  • 1Department of Surgery, Middlemore Hospital, Auckland, New Zealand.

The Australian and New Zealand Journal of Surgery
|April 1, 1994
PubMed
Summary
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This study describes acute acalculous cholecystitis in older males with vascular disease. Early surgery is recommended for this specific patient group to prevent severe complications and high mortality.

Area of Science:

  • Gastroenterology
  • Vascular Surgery

Background:

  • Acute acalculous cholecystitis (AAC) typically lacks gallstones and has varied causes.
  • This study focuses on a unique cohort of AAC patients with underlying vascular disease.

Purpose of the Study:

  • To describe the clinical presentation, diagnosis, and outcomes of AAC in patients with vascular disease.
  • To investigate a potential vascular etiology for AAC in this specific demographic.

Main Methods:

  • Retrospective case series of ten patients with AAC.
  • Review of clinical data, diagnostic imaging (ultrasonography), and surgical findings.
  • Analysis of patient demographics, comorbidities, and treatment outcomes.

Main Results:

  • All ten patients were older males with vascular disease or predisposition.

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  • Ultrasonography aided diagnosis; all cases showed gangrenous cholecystitis upon laparotomy.
  • High morbidity (mean 10.5-day hospital stay) but no mortality was observed.
  • Conclusions:

    • AAC in older males with vascular disease may have a distinct vascular etiology.
    • Early surgical intervention is crucial to manage this condition and reduce associated risks.
    • Findings suggest this AAC presentation differs from other reported clinical settings.