Carrillo ER, Pérez PFJ

Idioma: Español
Referencias bibliográficas: 37
Paginas: 101-105
Archivo PDF: 106.46 Kb.

RESUMEN

La colecistitis aguda acalculosa es una complicación no rara en el paciente quemado. Es secundaria a atonía e isquemia de la vesícula biliar que evoluciona a un proceso necroinflamatorio que habitualmente se complica con infección biliar y sepsis. Clínicamente se manifiesta con dolor y plastrón en cuadrante superior derecho del abdomen, fiebre, leucocitosis e incremento de bilirrubina y fosfatasa alcalina. El ultrasonido de vesícula y vías biliares es el estudio de elección para corroborar el diagnóstico. El tratamiento temprano es fundamental para disminuir la morbi-mortalidad de esta entidad y es mediante el empleo de antibióticos, dependiendo de las condiciones del enfermo aunado a: colecistostomía percutánea, drenaje endoscópico o colecistectomía laparoscópica.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Ward P, Hill G. Pathophysiologic events related to termal injury of skin. J Trauma 1990; 30: 75-79.

2. Sheth GS, LaMont TJ. Gastrointestinal problems in the critically ill patient. Clin Chest Med 2001; 22: 135-47.

3. Babb R. Acute acalculous cholecystitis. J Clin Gastroenterol 1992; 15: 238-241.

4. Baelen E, Roustan J. Leptospirosis associated with acute acalculous cholecystitis. J Clin Gastroenterol 1997; 25: 704-705.

5. Bard J, Wilbott K. Acalculous cholecystitis in patients undergoing bone marrow transplantation. Eur J Surg 1997; 163: 519-524.

6. Barie P, Fischer E. Acute acalculous cholecystitis. Gastrointest Radiol 1985; 10: 387-389.

7. Carriarelli A, Naddaf S, El-Zeftawy H et al. Acute cholecystitis in AIDS patients: Correlation of Tc-99m hepatobiliary scintigraphy with histopathologic laboratory findings and cd4 counts. Clin Nucl Med 1998; 23: 226-228.

8. Orlando R, Gleason E, Drezner AD. Acute acalculous cholecystitis in the critically ill patient. Am J Surg 1983; 145: 472-476.

9. Ling TN, Heimbach DM, Carrico CJ. Acalculous cholecystitis in the critically ill patients. AM J Surg 1978; 136: 31-36.

10. Duncan J. Femoral hernia: Gangrene of the gallbladder; extravasation of bile; peritonitis; death. North J Med 1844; 2: 151-153.

11. Linberg EF, Grinnan GLB, Smith L. Acalculous cholecystitis in Vietnam casualties. Ann Surg 1970; 171: 152-157.

12. Rady MY, Kodavatiganti R, Ryan T. Perioperative predictors of acute cholecystitis after cardiovascular surgery. Chest 1998; 114: 76-84.

13. Savino JA, Scalea TM, Del Guercio LR. Factors encouraging laparotomy in calculous cholecystitis. Crit Care Med 1985; 13: 377-380.

14. Gately JF, Thomas EJ. Acute cholecystitis occurring as a complication of other diseases. Arch Surg 1983; 118: 1137-1141.

15. Lee SP. Pathogenesis of biliary sludge. Hepatology 1990; 12: 200s-2003s.

16. Savoca PE, Longo WE, Pasternak B et al. Does visceral ischemia play a role in the pathogenesis of acute acalculous cholecystitis. J Clin Gastroenterol 1990; 12: 33-36.

17. Nies C, Zielke A, Hasse C et al. Atony of the gallbladder as a risk factor for acalculous cholecystitis: what is the effect of intensive care. Zentralbl Chir 1994; 119: 75-80.

18. Shapiro MJ, Luchtefeld WB, Kurzweil S et al. Acute acalculous cholecystitis in the critically ill. Am Surg 1994; 60: 335.

19. Marik EP. Fever in the ICU. Chest 2000; 117: 855-69.

20. Martin FR, Flynn P. The Acute Abdomen in the Critically ill Patient. Surg Clin North Am 1997; 77: 455-64.

21. Mirvis SE, Vainright JR, Nelson AW et al. The diagnosis of acute acalculous cholecystitis: A comparison of sonography, scintigraphy, and CT. AJR Am J Roentgenol 1986; 147: 1171.

22. Molenar F, Boussuges A, Valantin V et al. Gallbladder abnormalities in medical ICU patients: an ultrasonographic study. Intensive Care Med 1996; 22: 356-358.

23. Shuman WP, Rogers JV, Rudd TG et al. Low sensitivity of sonography and cholescintigraphy in calculous cholecystitis. AJR Am J Roentgenol 1984; 142: 531-534.

24. Jeffrey RB Jr, Sommer FG. Follow-up sonography in suspected acalculous cholecystitis: preliminary clinical experience. J Ultrasound Med 1993; 12: 183-187.

25. Molina EG, Reddy RK. Postoperative Jaundice. Clin Liver Dis 1999; 3: 477-88.

26. Datz F. Utility of Indium-111-labeled leukocyte imaging in acute acalculous cholecystitis. AJR Am J Roentgenol 1986; 147: 813-814.

27. Flancbaum L, Choban P. Use of morphine cholescintigraphy in the diagnosis of acute cholecystitis in critically ill. Intensive Care Med 1995; 21: 120-124.

28. Garner W, Marx V, Fabri P. Cholescintigraphy in the critically ill. Am J Surg 1988; 155: 727-729.

29. Blankenberg F, Wirth R, Jeffrey RB Jr et al. Computed tomography as an adjunct in the diagnosis of acute acalculous cholecystitis. Gastrointest Radiol 1991; 16: 149-153.

30. Frazee R, Nagorney D, Mucho P. Acute acalculous cholecystitis. Mayo Clin Proc 1989; 64: 163-167.

31. McClain T, Gilmore BT, Peetz M. Laparoscopic cholecystectomy in the treatment of acalculous cholecystitis in patients after thermal injury. J Burn Care Rehabil 1997; 18(2): 141-6.

32. Hulman CS, Herbst CA, McCall JM et al. The efficacy of percutaneous cholecystostomy in critically ill patients. The American Surgeon 1996; 62: 263-269.

33. Shapiro MJ, Luchtfeld WB, Kurzweil S et al. Acute cholecystitis in the critically ill. The American Surgeon 1994; 60: 335-339.

34. Boland GW, Lee MJ, Leung J et al. Percutaneous cholecystostomy in critically ill patients: early response and final outcome in 82 patients. Am J Roentgenol 1994; 163: 339-342.

35. Brugge WR, Friedman LS. A new endoscopic procedure provides insight into an old disease: acute acalculous cholecystitis. Gastroenterology 1994; 106: 1718-1720.

36. Melin MM, Sarr MG, Bender CE et al. Percutaneous cholecystostomy: a valuable technique in high-risk patients with presumed acute cholecystitis. Br J Surg 1995; 82: 1274-1277.

37. Johnson L. The importance of early diagnosis of acute acalculous cholecystitis. Surg Gynecol Obstet 1987; 164: 197-203.