scholarly journals Clinical picture and ultrasonographic diagnosis of pericholecystic abscess due to acute cholecystitis.

1987 ◽  
Vol 20 (11) ◽  
pp. 2561-2565
Author(s):  
Tadahiro TAKADA ◽  
Hideki YASUDA ◽  
Katsuhiro UHIYAMA ◽  
Hiroshi HASEGAWA ◽  
Jun-ichi SHIKATA
Keyword(s):  
Acute Cholecystitis ◽  
Clinical Picture ◽  
Ultrasonographic Diagnosis ◽  
Pericholecystic Abscess

Age-specific peculiarities of the clinical picture of acute cholecystitis

2016 ◽  
Vol 94 (2) ◽  
pp. 133-137
Author(s):  
Gaik Z. Balayan
Keyword(s):  
High Risk ◽  
Elderly Patients ◽  
Acute Cholecystitis ◽  
Clinical Picture ◽  
Clinical Symptoms ◽  
Risk Group ◽  
High Risk Group ◽  
Treatment Results ◽  
Poor Treatment ◽  
Late Stages

The problem of acute cholecystitis is now becoming ever more urgent bearing in mind a rise in morbidity and poor treatment results especially in elderly patients. Hence, the importance of studying age-specific peculiarities of clinical picture and evolution of this condition. The present study included 1273 patients with acute cholecystitis divided in 2 groups. It was shown that patients of advanced age more frequently suffer complicated cholecystitis. It is concluded that patients aged 60 years and more make up a high-risk group characterized by mildly manifest clinical symptoms and hospitalization at the late stages of the disease.

scholarly journals Acute Cholecystitis in Aged Patients

HPB Surgery ◽  
1996 ◽  
Vol 9 (3) ◽  
pp. 129-131 ◽  
Author(s):  
J. Prousalidis ◽  
E. Fahadidis ◽  
S. Apostolidis ◽  
C. Katsohis ◽  
H. Aletras
Keyword(s):  
Conservative Treatment ◽  
Medical Treatment ◽  
Hospital Stay ◽  
Acute Cholecystitis ◽  
Clinical Picture ◽  
Emergency Surgery ◽  
Clinical Findings ◽  
Aged Patients ◽  
Group A ◽  
Group B

The aim ofthis study is the analysis ofthe results in 62 patients over 70 years ofage with acute cholecystitis treated in our Department from 1970 to 1990. The clinical picture in 47 patients was mild and in 15 severe. In 14 cases (10 calculous, 4 acalculous) the acute cholecystitis subsided with antibiotics (Group A). In 48 more cases (45 calculous, 3 acalculous) following 1-3 days conservative treatment, operation was undertaken. Besides acute cholystitis there was gangrene of gallbladder in 10, choledocholithiasis in 7 and choloperitoneum without perforation in 7 cases. Cholecystostomy in 25, cholecystectomy in 15 and cholecystectomy with exploration ofthe bill duct in 8 cases was performed (Group B). There was one death in group A and 3 deaths .in group B. The hospital stay was 20 days. In conclusion the clinical findings in acute cholecystitis in the aged are usually mild. In the case of failure of medical treatment, after 2-3 days emergency surgery should be performed.

scholarly journals Medical Image of the Month: Perforated Gangrenous Cholecystitis

2021 ◽  
Vol 22 (5) ◽  
pp. 100-101
Author(s):  
Lauren Blackley ◽  
◽  
Madhav Chopra ◽  
Tammer El-Aini
Keyword(s):  
Acute Cholecystitis ◽  
Hospital Admissions ◽  
Open Cholecystectomy ◽  
Antibiotic Administration ◽  
Intravenous Contrast ◽  
Methamphetamine Use ◽  
Rebound Tenderness ◽  
Gangrenous Cholecystitis ◽  
History Of ◽  
Pericholecystic Abscess

No abstract available. Article truncated after 150 words. Clinical Scenario: A 47-year-old lady with a past medical history of hypertension, DVT on Xarelto, and methamphetamine use presented with a 3-day history of progressive right upper quadrant pain. Physical examination demonstrated marked right upper quadrant tenderness with palpation and significant rebound tenderness. A CT of the abdomen and pelvis without intravenous contrast demonstrated findings consistent with acute calculus cholecystitis with evidence of perforation and a pericholecystic abscess. The patient was taken emergently to the operating room where she underwent an open cholecystectomy which demonstrated perforated gangrenous cholecystitis with a large abscess in the gallbladder fossa. She was admitted to the ICU post-operatively due septic shock and did well with fluid resuscitation and antibiotic administration. Discussion: Acute cholecystitis is the most common acute complication of cholelithiasis and accounts for 3-9% of hospital admissions for acute abdominal pain. Eight to 95% of cases of acute cholecystitis are the result of a …

Surgical tactics for acute cholecystitis in patients over 70

1986 ◽  
Vol 67 (6) ◽  
pp. 411-414
Author(s):  
O. S. Kochnev ◽  
I. A. Kim ◽  
V. N. Korobkov ◽  
B. H. Kim ◽  
E. I. Muraviev
Keyword(s):  
Acute Cholecystitis ◽  
Clinical Picture ◽  
Surgical Intervention ◽  
Treatment Method ◽  
Choice Of Treatment ◽  
Surgical Tactics

In this work we cover the issues of surgical tactics in patients with acute cholecystitis over 70 years old, because this category of patients is the most difficult in terms of diagnosis, choice of treatment method and timing of surgical intervention. Basically, these are patients with concomitant diseases, which largely obscure the clinical picture, aggravate the patient's condition, influence the surgeon's decision and the outcome of surgical intervention.

Jansky-Bielschowsky syndrome, a lysosomal disease: First diagnosed cash in Oman

1992 ◽  
Vol 50 (1) ◽  
pp. 632-633
Author(s):  
Line Buhl ◽  
David Muirhead
Keyword(s):  
Mental Retardation ◽  
Clinical Picture ◽  
Neurological Disorder ◽  
Clinical Presentation ◽  
Neuronal Ceroid Lipofuscinosis ◽  
Infantile Form ◽  
Lysosomal Disease ◽  
Juvenile Form ◽  
Progressive Encephalopathy ◽  
Lysosomal Diseases

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.

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