Acute acalculous cholecystitis in the clinical experience.docVIP

 PAGE \* MERGEFORMAT 6 Acute acalculous cholecystitis in the clinical experience [Keywords:] cholecystitis, acute; clinical acute acalculous cholecystitis (acute acalculous cholcystitis, AAC) refers to inflammation of the gallbladder and its obvious there is no stone. Clinically rare, but high mortality rate. Our hospital a total of nearly 4 years treatment in 6 cases, are as follows. 1 1.1 General information clinical data of patients in this group were 6 patients, 4 males and 2 females, aged 59 to 83 years. Including preoperative diagnosis is not clear in the intraoperative and postoperative pathology confirmed AAC persons, other than the liver bile duct stones, gallbladder, liver cancer, pancreatitis, acute inflammation of the gallbladder complicated cases. preoperative imaging studies, surgery and pathology were not found in gallbladder stones. 1.2 6 patients had clinical complications: 2 patients with diabetes, and 1 with diabetes and coronary heart disease, the other 3 cases were associated with chronic obstructive pulmonary disease, lung infection, nephrotic syndrome and ovarian cancer patients had .6 severity, ranging from upper abdominal pain, 3 cases with fever, 2 cases with nausea and vomiting, 3 were transferred to medical hospital and surgical morbidity. examination: 5 cases of right upper quadrant tenderness rebound tenderness, abdominal tenderness in 1 case Murphy sign (+) in 5 cases, swelling of the gallbladder touched in 2 cases, the limitations of muscle tension in 4 cases. ultrasonography: the performance of the gallbladder wall thickening in 4 cases, enlargement of the gallbladder in 4 cases, 3 cases of fluid around the gallbladder, serosa of gallbladder The following edema in 3 cases. 1.3 The intraoperative findings were seen in 6 cases of edema of gallbladder wall thickening, 4 patients with vascular expansion, 5 cases of cellulose and purulent exudate, 3 cases of gallbladder gangrene and perforation of the limi