Empyema with giant dilatation of the gallbladder

Abstract

Rodrigues ALS, Lobato MF, Braga CAR, Meguins LC, Rolo DF. Empyema with giant dilatation of the gallbladder. ABCD Arq Bras Cir Dig.2008;21(2):90-1 ABSTRACT -Introduction -Gallbladder empyema is a serious complication of acute cholecystitis being peritonitis and sepsis it´s main clinical consequences. Organ giant volume is rare specially with no relevant symptoms. Case report -Man 56-year-old with mild abdominal pain on the right hypochondrium, palpable gallbladder and ultrasound images revealing cholelithiasis. At surgery, there was a giant dilatation of the gallbladder with 580 mL of purulent bile. Cholecystectomy was carried out without post-operative complications. Conclusion -Early cholecystectomy should always be realized in patients presenting symptoms of gallbladder empyema no matter the size of it. hEADInGS -Empyema of the gallbladder. Cholecystectomy. Surgery. ABCD Arq Bras Cir Dig

Comparative study between ligature with thread or metallic clamping by means of laparoscopy with the purpose of experimental biliary obstruction in swines

“…In questionable cases or require additional supporting information, or, even, for differential diagnosis, the interpretation of clinical signs should always be correlated with laboratory tests, ultrasound exams or other methods of diagnostic imaging 2,13,47,51,52 . Ultrasound is a practical technique, fast and inexpensive, being considered as a screening assay in the initial evaluation of patients with suspected hepatobiliary tract disorders 7,8,12,13,53 , mainly due to its high sensitivity and specificity 1,16 . Through this examination, can visualize hepatomegaly in cases of cholestasis associated with obstruction, with the characteristic signs of increased volume of the organ and the presence of smooth margins, and there may be diffuse and increased echogenicity, and inadequate definition of the portal vessels; in biliary tract, is more common visualization increase of size in the gallbladder and dilation of ducts 12,16,17 .…”

“…The main risk factors for the development of gallstones in humans are age, heredity, parity and obesity; occurring mainly in people over 55 years, and a greater incidence among women [5][6][7][8] . There are several conditions that, in humans and animals, can cause obstruction in the biliary tree, occurring cholestasis [9][10][11][12][13] . However, in recent years, there was an increase in the diagnosis of asymptomatic lithiasis due to upgrading diagnostic methods routinely performed in patients [14][15][16][17] .…”