منابع مشابه
Acute Calculous Cholecystitis
Copyright © 2008 Massachusetts Medical Society. A previously well 42-year-old woman presents with severe pain in the right upper quadrant, which started 15 hours earlier. She has previously noted episodic pain in that location that lasted for up to 2 hours but has not sought medical advice. She has had one episode of vomiting with the current attack. On physical examination, her temperature is ...
متن کامل2016 WSES guidelines on acute calculous cholecystitis
Acute calculus cholecystitis is a very common disease with several area of uncertainty. The World Society of Emergency Surgery developed extensive guidelines in order to cover grey areas. The diagnostic criteria, the antimicrobial therapy, the evaluation of associated common bile duct stones, the identification of "high risk" patients, the surgical timing, the type of surgery, and the alternati...
متن کاملCholecystocutaneous Fistula Secondary to Chronic Calculous Cholecystitis
Spontaneous cholecystocutaneous fistula is an exceptionally unusual complication of chronic calculous cholecystitis now. The remarkable drop in incidence is probably associated with the introduction of antimicrobial therapy and early surgical management of biliary tract disease. We report a case of spontaneous cholecystocutaneous fistula in a patient who presented with an abscess in the right u...
متن کاملPreoperative MRCP to detect choledocholithiasis in acute calculous cholecystitis
PURPOSE There are risks of common bile duct (CBD) stones in acute cholecystitis, and there is a move among surgeons to identify choledocholithiasis before surgery. Magnetic resonance cholangiopancreaticography (MRCP) has the potential to accurately detect choledocholithiasis in patients with acute cholecystitis. The aim of this study was to evaluate the predictive values of MRCP and elevated bi...
متن کاملAcute Calculous Cholecystitis: What is new in diagnosis and therapy?
The management of patients with acute calculous cholecystitis has changed during recent years. The etiology of acute cholecystitis is still not fully understood. Infection of bile is relatively unimportant since bile and gallbladder wall cultures are sterile in many patients with acute cholecystitis. Ultrasonography is first choice for diagnosis of acute cholecystitis and cholescintigraphy is s...
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ژورنال
عنوان ژورنال: JAMA: The Journal of the American Medical Association
سال: 1905
ISSN: 0098-7484
DOI: 10.1001/jama.1905.52510070022002d