acute acalculous cholecystitis

A rare but serious condition (up to 50% mortality) affecting approximately 5% of patients undergoing cholecystectomy, in which no stones are present in the inflamed gallbladder.

Clinical findings
Fever, right-upper quadrant pain.
Predisposing factors
ICU, long-term TPN, diabetes, pregnancy, sepsis, hepatitis A.
Lab
CBC count, liver function tests, blood culture; bile cultures are negative in half of cases.
Pathogenesis
Uncertain, possibly bile stasis and increased lithogenicity of bile.
Management
Open or laparoscopic cholecystectomy.

单词	acute acalculous cholecystitis
释义	acute acalculous cholecystitis acute acalculous cholecystitis A rare but serious condition (up to 50% mortality) affecting approximately 5% of patients undergoing cholecystectomy, in which no stones are present in the inflamed gallbladder. Clinical findings Fever, right-upper quadrant pain. Predisposing factors ICU, long-term TPN, diabetes, pregnancy, sepsis, hepatitis A. Lab CBC count, liver function tests, blood culture; bile cultures are negative in half of cases. Pathogenesis Uncertain, possibly bile stasis and increased lithogenicity of bile. Management Open or laparoscopic cholecystectomy.
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