Document Detail


Empyema of the gallbladder.
MedLine Citation:
PMID:  3218936     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is fairly widespread belief that suppuration superimposed upon acute cholecystitis is a rather uncommon condition. Scanty information on this subject is found in the published literature. No doubt, the scarcity of data further reinforces this clinical impression. Yet, from the few studies available, a surprisingly high incidence (7-11%) is documented. We reviewed 518 patients who underwent emergency cholecystectomy and found 139 cases to have frank pus present within the gallbladder. The clinical presentation is often difficult to distinguish from that of acute cholecystitis but diagnosis is crucial to identify this potentially fatal surgical emergency. There are encouraging reports of specific ultrasonic features which can demonstrate the increased viscosity produced by the purulent and fibrinous content within the gallbladder.
Authors:
C L Chua; S L Cheah; K H Chew
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  17     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1989-03-01     Completed Date:  1989-03-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  447-50     Citation Subset:  IM    
Affiliation:
University Department of Surgery, Singapore General Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cholecystectomy
Cholecystitis / diagnosis*,  surgery
Diagnosis, Differential
Female
Humans
Male
Middle Aged

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