Ouriel K, Green R M, Ricotta J J, DeWeese J A, Adams J T
J Vasc Surg. 1984 Sep;1(5):646-8. doi: 10.1067/mva.1984.avs0010646.
Acute acalculous cholecystitis developed in six patients recovering from repair of an abdominal aortic aneurysm. All patients were men with significant concurrent medical illnesses, and three patients had undergone operation for a ruptured aneurysm. Symptoms appeared at a mean of 3 weeks postoperatively and consisted of right upper quadrant pain, fever, leukocytosis, and slight elevation of liver function test results. Treatment consisted of cholecystostomy (three patients) or cholecystectomy (three patients), with an overall mortality rate of 50%. When cholecystitis is suspected after aortic aneurysm repair, early confirmation of the diagnosis should be obtained with ultrasound or a technetium hepatobiliary scan and cholecystostomy or cholecystectomy undertaken if the patient does not rapidly improve with medical management.
6例腹主动脉瘤修复术后康复过程中发生了急性非结石性胆囊炎。所有患者均为男性，同时患有严重的内科疾病，3例患者因动脉瘤破裂接受了手术。症状平均出现在术后3周，包括右上腹疼痛、发热、白细胞增多以及肝功能检查结果轻度升高。治疗方法包括胆囊造瘘术（3例患者）或胆囊切除术（3例患者），总死亡率为50%。当腹主动脉瘤修复术后怀疑有胆囊炎时，应通过超声或肝胆动态显像尽早确诊，若患者经内科治疗后未迅速好转，则应进行胆囊造瘘术或胆囊切除术。
