Schmitt J C, Sava G, Seror J
Acta Chir Belg. 1976;75(6):574-86.
The authors report on ten cases of cholecystites without stones. Two were typhic in origin, six apparently primitive, one postoperative and one posttraumatic. They stress the importance of histologic lesions in each of these etiologies and insist on the high frequency of gangrenous forms in postoperative and posttraumatic cases. Previous antibiotherapy deserves no credit. Emergency cholecystectomy remains the best treatment.
作者报告了10例无结石性胆囊炎病例。其中2例源于伤寒,6例显然是原发性的,1例为术后病例,1例为创伤后病例。他们强调了这些病因中每种病因下组织学病变的重要性,并指出术后和创伤后病例中坏疽形式的高发生率。先前的抗生素治疗并无效果。急诊胆囊切除术仍是最佳治疗方法。