Document Detail

Spontaneous biliary peritonitis in acalculous cholecystitis: fact or misdiagnosis?
MedLine Citation:
PMID:  11490784     Owner:  NLM     Status:  MEDLINE    
It is often speculated that an inflamed gallbladder weeps bile to produce bile peritonitis. This may be so, but more likely the problem is a peritoneal effusion in a jaundiced patient which thus resembles bile. So-called "spontaneous or idiopathic biliary peritonitis" in acute acalculous cholecystitis without a proven cause is a further example of this very rare condition. Spontaneous perforations of the extrahepatic biliary ductal system associated with acalculous cholecystitis are uncommon albeit reported in adults. Most patients present with an acute abdomen and are operated upon urgently without diagnostic iter. A recent experience with such a case prompted a thorough review of 27 similar cases previously reported.
S Sökmen; A Coker; T Unek
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  48     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2001 Jul-Aug
Date Detail:
Created Date:  2001-08-08     Completed Date:  2001-12-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1001-4     Citation Subset:  IM    
Department of General Surgery and Organ Transplantation, Dokuz Eylül University, School of Medicine, Inciralti, Izmir, Turkey.
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MeSH Terms
Acute Disease
Cholecystitis / complications*
Peritonitis / diagnosis,  etiology*,  surgery*

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