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- Title
Acute Cholecystitis Complicating Unrelated Disease: Etiological Considerations.
- Authors
Ziv, Yechiel; Feigenberg, Zvi; Zer, Michael; Dintsman, Moshe
- Abstract
The phenomenon of acute cholecystitis complicating an unrelated operation has been reported with increasing frequency, and may be preceded by a variety of operative procedures and a lack of previous biliary tract symptoms. Among eight such patients treated by us, seven developed acute cholecystitis postoperatively, and in one it was discovered during operation for bleeding duodenal ulcer. Two patients bad undergone wide excision of the breast; two, highly selective vagotomy; one, nepbrolitbotomy; one, truncal vagotomy and gastroenterostomy; and one, left bemicolectomy and colostomy. In three patients, urgent cholecystectomy was performed, and four were treated conservatively with sub-sequent elective cholecystectomy. Histopathological studies revealed acute and chronic cholecystitis in all eight patients and cholelithiasis in four. One patient died in septic shock. Numerous contributing factors have been suggested, including hypovolemia and biliary stasis, as well as the presence of stones. It would appear that chronic cholecystitis or other biliary pathology, as found in our eight patients, is a major factor in tbe development of the manifestation.
- Subjects
CHOLECYSTITIS; BILIOUS diseases &; biliousness; SURGICAL complications; PATIENTS; ETIOLOGY of diseases
- Publication
American Journal of Gastroenterology (Springer Nature), 1987, Vol 82, Issue 11, p1165
- ISSN
0002-9270
- Publication type
Article