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Query: UMLS:C0149520 (acute cholecystitis)
 2,784 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The detection of opacification of the wall of the gallbladder after the intravenous injection of hydrosoluble iodinated contrast medium (gallbladder parietography) was sought in 82 patients suspected of suffering from acute cholecystitis. In 35 cases, the examination was negative and operation or the clinical course made it possible to eliminate the diagnosis of acute cholecystitis. In 47 cases, it was positive. The diagnosis was confirmed in 39 cases out of 40 patients undergoing surgery. The appearance of the opacification makes it possible to distinguish two types of positive gallbladder parietography: -- with a thin wall and gallbladder of normal size, corresponding to moderate inflammatory lesions; -- with a thickened wall associated with a large gallbladder corresponding to major inflammatory lesions. The examination is simple, reliable, may be carried out as an emergency and combined with intravenous urography. The diagnosis of acute cholecystitis may be made in difficult causes, and appropriate therapeutic steps taken.
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PMID:[The contribution of gallbladders' infusion tomography in the diagnosis of acute cholecystitis (author's transl)]. 55 91

The authors illustrate the diagnostic possibilities of echography in the evaluation of the nontraumatic abdominal emergencies. They first refer about the methods of investigation and the scanning techniques. Then they illustrate the value of echography in the evaluation of the acute cholecystitis and pancreatitis pointing out the sensitivity of this procedure to the detection of the spread of the infections to the peritoneum and to the retroperitoneal spaces. The authors also present the echographic findings in the acute pathology of the retroperitoneum and of the female pelvic organs. Finally they emphasize the diagnostic value of ultrasounds in the search of the abdominal causes of the acute anemia and of the fever of unknown origin and as a preliminary investigation in case of actue renal failure.
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PMID:[Echographic evaluation of nontraumatic abdominal emergencies (author's transl)]. 55 87

Three cases of acute emphysematous cholecystitis are reported. Our experience has been that this disease, compared with the occurrence of common acute cholecystitis, is rare. The clinical picture is discussed and emphasis is made concerning the roentgenographic diagnosis and surgical findings, such as obstruction of the cistic duct, which is probable the cause of the histopathologic changes found in the gall bladder. The negative results from the culture of material obtained from the gall bladder was probably due to antibiotic administration prior to surgery. A review of the recent literature and surgical treatment, after correction of metabolic and hydroelectrolito imbalances, is made.
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PMID:[Acute emphysematous cholecystitis. Report of 3 cases]. 61 38

99mTc-HIDA is concentrated by the hepatocytes and excreted into the biliary system; the gallbladder, common bile duct, and early accumulation in the duodenum are visualized within 30 minutes of intravenous administration. The authors studied the utility of 99mTc-HIDA imaging in both acute and chronic cholecystitis and hepatobiliary disease in the presence of jaundice: (a) all normal gallbladders exhibited filling, (b) absence of visualization indicated gallbladder disease and/or cystic duct obstruction, (c) visualization of the gallbladder after cholecystokinin-induced emptying excluded an obstructed cystic duct and acute cholecystitis, and (d) a definitive diagnosis of hepatocellular disease, partial and complete obstruction, is possible in jaundiced patients with hyperbilirubinemias up to 5 mg%. Beyond that level, 99mT-HIDA imaging was of qualified value. The technique is useful in assessing biliary drainage in jaundiced patients with surgically altered biliary tract anatomy.
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PMID:Diagnosis of hepatobiliary disease by 99mTc-HIDA cholescintigraphy. 62

Acute cholecystitis in children and adolescents is unusally rare especialy the gangrenous inflammation. Only a few cases are reported in medical literature and each publication of such a case is a contribution to the further understanding of the clinical picture and diagnosis of this rare childhood disease. Special attention must be given to the early discovery of acute cholecystitis and early surgical intervention because if the pocess gains a foothold it can cause complications which can be life threatening. The treatment consists of an early cholecystectomy in which case the prognosis is good and the mortality rate is very low.
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PMID:[Acute gangrenous acalculous cholecystitis in a 6-year-old boy]. 62 38

Cholescintigraphy with N-substituted iminodiacetic acid (HIDA) labelled with technetium-99m is a new noninvasive technique for evaluation of the hepatobiliary system. The significance of nonvisualization of the gallbladder by this method in comparison with standard radiologic examinations was studied. In 43 healthy subjects the gallbladder was visualized by the two methods. By contrast, all 27 patients in whom the gallbladder was not visualized by cholescintigraphy had cholecystitis. When visualization failed to occur, a repeat cholescintigraphic study after an injection of cholecystokinin demonstrated the status of the cystic duct. Visualization excludes cystic duct obstruction and acute cholecystitis, whereas persistent nonvisualization indicates cystic duct obstruction.
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PMID:Nonvisualization of the gallbladder by 99mTc-HIDA cholescintigraphy as evidence of cholecystitis. 63 Apr 97

It is recommended that elective cholecystectomy for cholelithiasis be performed right away after the first colic. This decreases the operative mortality to 0.3-1.0%. 2. The occurrence of local complications leads to a ten-fold increase in mortality. 3. Patients with gallstones but without symptoms should be operated during their 5th decade of life because half of these patients will later on develop serious symptoms and 25% even critical local complications requiring surgery. Operative mortality in the old age group, however, is considerably higher at 7-20%. 4. The acute cholecystitis should nowadays be treated by surgeons because early operation usually results in an operative mortality of as low as 1-1.5%. 5. The postoperative treatment of choice for residual common duct stones is either chemical dissolution via the T-tube extraction via the T-tube canal or endoscopic retrograde extraction of the stone after papillotomy. A reoperation is indicated only in the rare event that these methods should fail.
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PMID:[Therapy for cholelithiasis]. 63 12

The authors report two cases of torsion of Riedel's lobe. The first case resembled acute cholecystitis. Resection was followed by a cure. The second case presented in the form of a complicated abdomino-pelvic tumor. Its removal did not prevent a fatal issue due to fibrinolysis probably related to advanced ischemic infarction of Riedel's lobe of the liver. It seems that these complications are exceptional.
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PMID:[Torsion of Riedel's lobe. Two cases (author's transl)]. 63 29

The literature data on acute cholecystitis occuring as a complication after operations on the abdominal organs are analysed. The author presents 3 own observations of cholecystitis in early postoperative period among 28,556 laparotomies. Taking into consideration the rarity of this complication, the author believes that the arguments adduced for simultaneous preventive cholecystectomy in operations for other abdominal organs diseases are dubious, especially in emergent abdominal surgery.
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PMID:[Acute cholecystitis as a postoperative complication]. 63 84

Cultures from the gallbladder and blood of a 60-year-old man with acute cholecystitis grew Haemophilus aphrophilus. This organism, an unusual isolate in clinical specimens, is most frequently seen in patients with either endocarditis or brain abscesses. Haemophilus aphrophilus may be distinguished from Eikenella corrodens and Actinobacillus actinomycetemcomitans on the basis of colonial morphology and the biochemical tests for oxidase and catalase production and fermentation of lactose, sucrose, glucose, mannitol, xylose, and trehalose.
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PMID:Haemophilus aphrophilus cholecystitis. 63 50


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