Colecistitis acalculosa en el paciente quemado
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| Verfasser: | |
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| Format: | artículo original |
| Status: | Versión publicada |
| Publikationsdatum: | 2012 |
| Beschreibung: | The acute acalculous cholecystitis is an uncom- mon complication in the burned patient. It is secondary to atony and ischemia of the gallblad- der. It may progress to a necroinflammatory process that frequently complicates with bile infection and systemic sepsis. Moreover, this atony affects bile composition, causing the gallbladder mucosa to be more susceptible to damage. Clinically it 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 tool lead to diagnosis. Early treatment with antibiotics associated to surgical or endoscopic procedures is fundamental to reduce the morbimortality of this entity. |
| Land: | Portal de Revistas UCR |
| Institution: | Universidad de Costa Rica |
| Repositorio: | Portal de Revistas UCR |
| Sprache: | Español |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/10437 |
| Online Zugang: | https://revistas.ucr.ac.cr/index.php/clinica/article/view/10437 |
| Stichwort: | quemaduras colecistitis acalculosa colecistectomía laparoscópica burn complications acute acalculous cholecystitis laparoscopic cholecystectomy |