2004, Number 3
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Rev Fac Med UNAM 2004; 47 (3)
Acute cholecystitis due to severe burns
Carrillo ER, Pérez PFJ
Language: Spanish
References: 37
Page: 101-105
PDF size: 106.46 Kb.
ABSTRACT
The acute acalculous cholecystitis is a uncommon complication in the burned patient. It is secondary to atony and ischemia of the gallbladder. It may progress to a necroinflammatory process that frequently complicates with bile infection and sepsis. Clinically is characterized by pain and palpable mass in the right upper quadrant of the abdomen, fever, leukocytosis and increase of bilirubin and alkaline phosphatase. Gallbladder ultrasonography is the best lead to diagnosis. Early treatment with antibiotics associated to surgical or endoscopic procedures is fundamental to reduce the morbimortality of this entity.
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