Pain Imaging by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9783319998220
Publisher: Springer International Publishing

13.3 Cholecystitis

13.3.1 Acute Cholecystitis

Acute cholecystitis is defined as inflammation of the gallbladder, generally caused by obstruction of the cystic duct. The most common causes of cystic duct obstruction are gallstones or biliary sludge (acute calculous cholecystitis), which represent over 90% of cases. Cholecystitis can also occur in the absence of gallstones and is known as acalculous cholecystitis, a much rarer condition which occurs in critically ill or injured patients (trauma, burns, sepsis), and it is generally the result of biliary stasis and/or gallbladder ischemia [43].

According to the World Society of Emergency Surgery (WSES) guidelines 2016, there is no single clinical or laboratory finding with sufficient diagnostic accuracy to establish or exclude acute cholecystitis (Level IIB); combination of detailed history, complete clinical examination, and laboratory tests may strongly support the diagnosis of acute cholecystitis (Level IVC) [44].

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.