Document Detail


Acute acalculous cholecystitis.
MedLine Citation:
PMID:  20478490     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute acalculous cholecystitis (ACC) can develop with or without gallstones after surgery and in critically ill or injured patients. Diabetes mellitus, malignant disease, abdominal vasculitis, congestive heart failure, cholesterol embolization, shock, and cardiac arrest also have been associated with AAC. The pathogenesis of AAC is complex and multifactorial. Ultrasound of the gallbladder is most accurate for the diagnosis of AAC in the critically ill patient. CT is probably of comparable accuracy, but carries both advantages and disadvantages. Rapid improvement may be expected when AAC is diagnosed correctly and cholecystostomy is performed timely.
Authors:
Philip S Barie; Soumitra R Eachempati
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Gastroenterology clinics of North America     Volume:  39     ISSN:  1558-1942     ISO Abbreviation:  Gastroenterol. Clin. North Am.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-18     Completed Date:  2010-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706257     Medline TA:  Gastroenterol Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  343-57, x     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Division of Critical Care and Trauma, Department of Surgery, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, NY 0065, USA. pbarie@med.cornell.edu
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MeSH Terms
Descriptor/Qualifier:
Acalculous Cholecystitis* / diagnosis,  etiology,  surgery
Acute Disease
Cholecystectomy / methods*
Diagnostic Imaging / methods*
Heart Failure / complications
Humans
Kidney Failure, Chronic / complications
Obesity / complications
Prognosis

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


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