Acute acalculous cholecystitis complicating trauma: a prospective sonographic study.

Abstract:

:Acute acalculous cholecystitis (AAC) is a well known complication in severely traumatized patients. Existing data of AAC originate from retrospective analyses and episodic case reports. In a prospective study 45 polytraumatized patients admitted to our intensive care unit from January 1989 to June 1990 were clinically and sonographically screened for this condition at defined time intervals. Trauma scoring was performed according to the injury severity score and polytrauma score. AAC was defined as a combination of hydrops of the gallbladder, an increased wall thickness (> 3.5 mm), and the demonstration of sludge. We were able to document this diagnostic triad in 8 (18%) of 45 patients. As a consequence early elective cholecystectomy was performed in 1 of the 8 patients. The remaining patients were treated conservatively. The incidence of AAC in severely traumatized patients is higher than figures so far published suggest. Ultrasound is a reliable method of early detection and follow-up of this complication.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Imhof M,Raunest J,Ohmann C,Röher HD

doi

10.1007/BF02067089

keywords:

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

1160-5; discussion 1166

issue

6

eissn

0364-2313

issn

1432-2323

journal_volume

16

pub_type

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