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腹壁修复(里夫斯-斯托帕)术后急性非结石性胆囊炎

Acute acalculous cholecystitis after abdominal wall repair (Rives-Stoppa).

作者信息

Reurings Jurrian C, Diaz Ruben P D, Penninga Luit, Nellensteijn David R

机构信息

Department of Surgery, St. Elisabeth Hospital, Willemstad, Curaçao.

出版信息

BMJ Case Rep. 2014 Apr 16;2014:bcr2014203781. doi: 10.1136/bcr-2014-203781.

Abstract

Acute acalculous cholecystitis (AAC) is a rare condition normally occurring in critically ill patients. Compared to acute calculous cholecystitis, AAC is associated with complications and has a worse outcome. Hence, knowledge of this condition is very important. We describe a case of a 31-year-old man who developed AAC after abdominal wall repair with mesh (Rives-Stoppa procedure) 1 day after discharge from the hospital. To the best of our knowledge, this is the first paper to report AAC after abdominal incisional hernia repair. Although it is known to be more common in critically ill patients, AAC can also occur postoperatively in outpatients. Early recognition and treatment of AAC may improve outcome.

摘要

急性非结石性胆囊炎(AAC)是一种罕见疾病,通常发生在危重病患者中。与急性结石性胆囊炎相比,AAC会引发并发症,且预后更差。因此,了解这种疾病非常重要。我们描述了一例31岁男性患者的病例,该患者在出院1天后接受腹壁补片修补术(里夫斯 - 斯托帕手术)后发生了AAC。据我们所知,这是第一篇报道腹部切口疝修补术后发生AAC的论文。尽管已知AAC在危重病患者中更常见,但它也可能在门诊患者术后发生。早期识别和治疗AAC可能会改善预后。

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本文引用的文献

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Acute acalculous cholecystitis: a review.急性非结石性胆囊炎:综述。
Clin Gastroenterol Hepatol. 2010 Jan;8(1):15-22. doi: 10.1016/j.cgh.2009.08.034. Epub 2009 Sep 10.
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Antimicrobial therapy for acute cholecystitis: Tokyo Guidelines.急性胆囊炎的抗菌治疗:东京指南
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Acute acalculous cholecystitis.急性非结石性胆囊炎
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