Diagnosis of gallbladder perforation in acute acalculous cholecystitis in critically ill patients

1992 ◽  
Vol 18 (4) ◽  
pp. 245-246 ◽  
Author(s):  
Ch. Madl ◽  
G. Grimm ◽  
R. Mallek ◽  
B. Schneeweiß ◽  
W. Druml ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Acalculous Cholecystitis ◽  
Gallbladder Perforation ◽  
Acute Acalculous Cholecystitis

ACCURACY OF ULTRASONOGRAPHY IN THE DIAGNOSIS OF ACUTE ACALCULOUS CHOLECYSTITIS IN CRITICALLY ILL PATIENTS

1986 ◽  
Vol 65 (Supplement 3A) ◽  
pp. A79 ◽  
Author(s):  
L. Bodin ◽  
J. J. Rouby ◽  
J. C. Bousquet ◽  
P. Langlois ◽  
K. You ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis

scholarly journals Acalculous Acute Cholecystitis in Previously Healthy Children: General Overview and Analysis of Pediatric Infectious Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Dimitri Poddighe ◽  
Matteo Tresoldi ◽  
Amelia Licari ◽  
Gian Luigi Marseglia
Keyword(s):  
Infectious Diseases ◽  
Acute Cholecystitis ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Pediatric Population ◽  
Acalculous Cholecystitis ◽  
Clinical Aspects ◽  
Acute Acalculous Cholecystitis ◽  
Healthy Children ◽  
General Overview

Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder, which does not appear to be associated with the presence of gallstones. AAC is estimated to represent more than 50% of cases of acute cholecystitis in the pediatric population. Although this pathology was initially described in critically ill patients, actually most pediatric cases have been observed during several infectious diseases. Particularly, here we reviewed pediatric infectious acute acalculous cholecystitis and analyzed the pathophysiological and clinical aspects of bacterial and viral forms.

Histopathology of acute acalculous cholecystitis in critically ill patients

2005 ◽  
Vol 47 (5) ◽  
pp. 485-492 ◽  
Author(s):  
J J Laurila ◽  
T I Ala-Kokko ◽  
P A Laurila ◽  
J Saarnio ◽  
V Koivukangas ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis

Acute acalculous cholecystitis in critically ill patients

2004 ◽  
Vol 48 (8) ◽  
pp. 986-991 ◽  
Author(s):  
J. Laurila ◽  
H. Syrjala ◽  
P. A. Laurila ◽  
J. Saarnio ◽  
T. I. Ala-Kokko
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Acalculous Cholecystitis ◽  
Acute Acalculous Cholecystitis

scholarly journals Recent advances in management of acalculous cholecystitis

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1660 ◽  
Author(s):  
Bryan Balmadrid
Keyword(s):  
Gastrointestinal Tract ◽  
High Risk ◽  
Critically Ill ◽  
Acalculous Cholecystitis ◽  
Gallbladder Perforation ◽  
Percutaneous Cholecystostomy ◽  
Imaging Findings ◽  
Metal Stent ◽  
Ultrasound Guided ◽  
Life Threatening

Acalculous cholecystitis is a life-threatening gallbladder infection that typically affects the critically ill. A late diagnosis can have devastating outcomes because of the high risk of gallbladder perforation if untreated. The diagnosis is not straightforward as Murphy’s sign is difficult to illicit in the critically ill and many imaging findings are either insensitive or non-specific. This article reviews the current imaging literature to improve the interpretation of findings. Management involves a percutaneous cholecystostomy, surgical cholecystectomy, or more recently an endoscopically placed metal stent through the gastrointestinal tract into the gallbladder. This article reviews the current literature assessing the outcomes of each treatment option and suggests a protocol in determining the modality of choice on the basis of patient population. Specifically, endoscopic ultrasound-guided gallbladder drainage is a novel drainage approach for patients who are poor candidates for surgery and obviates the need for a percutaneous drain and all its complications. It has promising results but has caveats in its uses.

Sign in / Sign up

Export Citation Format

Share Document