Acute acalculous cholecystitis in the critically ill patient

Orlando, Rocco; Gleason, Ellen; Drezner, A. David

doi:10.1016/0002-9610(83)90042-9

Cited by 130 publications

(51 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Tachycardia is unusual in the acute stage of patients with spinal cord lesions above T5 and this ®nding should alert about a possible complication. 11,12,22 Laboratory reports were in accord with what has been previously described, 11,14 and were compatible with a pattern of cholestasis. The transaminases were either minimally elevated or were not elevated.…”

Section: 11supporting

confidence: 75%

“…In general AAC appear at some time between the second and fourth weeks after the SCI. 8,14 Contrary to the occurrence of cholecystitis secondary to lithiasis it is predominant in males. 8,10,15 These two facts were observed in this series, although one episode occurred later in the 12th week.…”

Section: 11mentioning

confidence: 88%

“…The estimated prevalence (0.4 to 4% 8,14 ) is increasing. 30 When routine sonographic studies are performed in critically injured patients this condition can be found in 14 ± 18% of them.…”

Section: 11mentioning

confidence: 99%

“…We feel that the diagnosis of AAC should be ruled out in all the patients with SCI in its acute stage who deteriorate after an initially favourable clinical course, or who present: a persistent respiratory failure and/or sinus tachycardia without an apparent cause, unexplained multisystemic failure, paralytic ileus abnormally prolonged, or sepsis of undetermined cause. 8,15,16,23 AAC can lead to serious complications and there can be a signi®cant mortality 14,23 (although the mortality due to cholecystitis by itself is very low 8,11 ). It can necessitate a very prolonged stay both in the intensive care unit and in the general ward resulting in highly increased expense.…”

Section: 11mentioning

confidence: 99%

See 3 more Smart Citations

Acute acalculous cholecystitis in patients with acute traumatic spinal cord injury

et al. 1997

View full text Add to dashboard Cite

Acute acalculous cholecystitis (AAC) is a very serious complication which can be found in patients with multiple serious traumatic lesions (`polytrauma'). Very few patients have been reported in the literature with an acute spinal injury and associated AAC. We report seven patients with polytrauma and acute spinal cord injury who developed AAC. All had no complaint of the principal warning symptom: right upper quadrant abdominal pain. All presented with a palpable mass in this site and the laboratory results were compatible with cholestasis. The diagnosis of AAC was con®rmed both by ultrasound and CT scanning. We discuss the possible precipitating factors and the treatment. One hundred and ninety one patients were admitted to the Intensive Care Unit in our Hospital with SCI over a period of 2 years, all of these in the acute stage. AAC was diagnosed in seven patients among them. Our purpose is to call attention to this clinical condition which can complicate the outcome of patients with multiple trauma and acute spinal cord injury. To date AAC in this group of patients has been infrequently described in the available literature.

show abstract

Section: 11supporting

confidence: 75%

Section: 11mentioning

confidence: 88%

Section: 11mentioning

confidence: 99%

Section: 11mentioning

confidence: 99%

See 2 more Smart Citations

Acute acalculous cholecystitis in patients with acute traumatic spinal cord injury

et al. 1997

View full text Add to dashboard Cite

show abstract

“…Acute acalculous cholecystitis (AAC) is associated with a significant mortality rate and therefore early diagnosis and intervention are vital to management. [1][2][3] We present the case of a man who was admitted with AAC three days after a closed, blunt traumatic upper abdominal injury. We discuss the multifactorial pathogenesis, the diagnostic radiological features and the benefits of operative versus non-operative management of AAC.…”

Section: Introductionmentioning

confidence: 99%