Colecistitis acalculosa en el paciente quemado
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 co...
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2012 |
| País: | Costa Rica |
| Institución: | Universidad de Costa Rica |
| Repositorio: | Portal de Revistas UCR |
| Idioma: | español |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/10437 |
| Acceso en línea: | https://revistas.ucr.ac.cr/index.php/clinica/article/view/10437 |
| Access Level: | acceso abierto |
| Palabra clave: | quemaduras colecistitis acalculosa colecistectomía laparoscópica burn complications acute acalculous cholecystitis laparoscopic cholecystectomy |
| Sumario: | 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. |
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