Document Detail


Acute acalculous cholecystitis following coronary artery bypass surgery.
MedLine Citation:
PMID:  15693387     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Significant gastrointestinal complications following cardiac surgery requiring cardiopulmonary bypass (CPB) are relatively infrequent but are associated with high morbidity and mortality rates. Acute acalculous cholecystitis (AAC) may be a devastating complication if the diagnosis is missed or management delayed. AIM: We present two cases of AAC that followed coronary artery bypass graft (CABG) surgery. RESULTS: In one case a cholecystectomy was performed whereas percutaneous drainage was utilised in the second case. The application of these two different individualised treatment options lead to successful outcomes in both cases. CONCLUSION: Awareness with vigilance enables early diagnosis and treatment. The clinical state of the patient at the time of diagnosis ultimately determines the management strategy in the post cardiac surgery patient.
Authors:
D G Healy; D Veerasingam; P R O'Connell; J Hurley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Irish journal of medical science     Volume:  173     ISSN:  0021-1265     ISO Abbreviation:  Ir J Med Sci     Publication Date:    2004 Jul-Sep
Date Detail:
Created Date:  2005-02-07     Completed Date:  2005-03-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  160-1     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland. cardiothoracic@eircom.net
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angina, Unstable / diagnosis,  surgery
Anti-Bacterial Agents / therapeutic use
Cholecystitis, Acute / diagnosis,  etiology*,  therapy*
Combined Modality Therapy
Coronary Artery Bypass / adverse effects*,  methods
Drainage / methods
Female
Follow-Up Studies
Humans
Male
Myocardial Infarction / diagnosis,  surgery*
Postoperative Complications / diagnosis,  therapy
Risk Assessment
Severity of Illness Index
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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