DIAGNOSIS OF GALLBLADDER PERFORATION IN ACUTE ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS

被引：8
|
作者：
MADL, C
GRIMM, G
MALLEK, R
SCHNEEWEISS, B
DRUML, W
LAGGNER, AN
LENZ, K
机构：
[1] Allgemeines Krankenhaus Wien, University of Vienna, A-1090
来源：
INTENSIVE CARE MEDICINE | 1992年 / 18卷 / 04期
关键词：
ACALCULOUS CHOLECYSTITIS; ALKALINE PHOSPHATASE; CHOLECYSTECTOMY; GALLBLADDER PERFORATION;
D O I：
10.1007/BF01709841
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
In the presence of ascites ultrasound is not appropriate to distinguish between gallbladder perforation and acute acalculous cholecystitis. However, the correct and early diagnosis of gallbladder perforation is important for the treatment and prognosis. We report 4 critically ill patients with ascites. All patients had evidence of gallbladder perforation by ultrasound and underwent cholecystectomy: 2 patients had gallbladder perforation, but 2 had acalculous cholecystitis without perforation. Markedly elevated serum alkaline phosphatase was the only discriminating finding indicating gallbladder perforation.
引用
收藏
页码：245 / 246
页数：2
相关论文
共 50 条
  • [1] ACUTE ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS
    BLANC, PL
    BEDOCK, B
    BAULIEUX, J
    HOLZAPFEL, L
    VITREY, D
    ROBERT, D
    LYON CHIRURGICAL, 1986, 82 (03) : 155 - 159
  • [2] ACUTE ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS
    VANMARLE, J
    SOUTH AFRICAN MEDICAL JOURNAL, 1986, 70 (01): : 54 - 54
  • [3] Acute acalculous cholecystitis in critically ill patients
    Laurila, J
    Syrjälä, H
    Laurila, PA
    Saarnio, J
    Ala-Kokko, TI
    ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2004, 48 (08) : 986 - 991
  • [4] ACCURACY OF ULTRASONOGRAPHY IN THE DIAGNOSIS OF ACUTE ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS
    BODIN, L
    ROUBY, JJ
    BOUSQUET, JC
    LANGLOIS, P
    YOU, K
    VIARS, P
    ANESTHESIOLOGY, 1986, 65 (3A) : A78 - A78
  • [5] ACUTE ACALCULOUS CHOLECYSTITIS IN THE CRITICALLY ILL
    SHAPIRO, MJ
    LUCHTEFELD, WB
    KURZWEIL, S
    KAMINSKI, DL
    DURHAM, RM
    MAZUSKI, JE
    AMERICAN SURGEON, 1994, 60 (05) : 335 - 339
  • [6] Histopathology of acute acalculous cholecystitis in critically ill patients
    Laurila, JJ
    Ala-Kokko, TI
    Laurila, PA
    Saarnio, J
    Koivukangas, V
    Syrjälä, H
    Karttunen, TJ
    HISTOPATHOLOGY, 2005, 47 (05) : 485 - 492
  • [7] ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS
    LONG, TN
    HEIMBACH, DM
    CARRICO, CJ
    AMERICAN JOURNAL OF SURGERY, 1978, 136 (01): : 31 - 36
  • [8] Acute Acalculous Cholecystitis in Critically ill Patients: Risk Factors, Diagnosis and Treatment Strategies
    de Oliveira Junior, Senival Alves
    Veras Lemos, Thiago Emanuel
    de Medeiros Junior, Arnaldo Costa
    Freire, Artur Dantas
    Garcia, Cesar de Carvalho
    de Sousa e Silva, Rielly
    Meneses Rego, Amalia Cinthia
    Araujo Filho, Irami
    JOURNAL OF THE PANCREAS, 2016, 17 (06): : 580 - 586
  • [9] ACUTE ACALCULOUS CHOLECYSTITIS IN THE CRITICALLY ILL PATIENT
    ORLANDO, R
    GLEASON, E
    DREZNER, AD
    AMERICAN JOURNAL OF SURGERY, 1983, 145 (04): : 472 - 476
  • [10] ACUTE ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS - CASE-REPORTS
    VANMARLE, J
    FRANZ, RC
    SOUTH AFRICAN MEDICAL JOURNAL, 1987, 72 (01): : 58 - 60
12345