Roeland A, Scohy J J, Rutten P, Ledecq M
Department of General Surgery, Clinique Notre-Dame de la Miséricorde, Libramont, Belgium.
Acta Chir Belg. 1994 Mar-Apr;94(2):86-9.
The study reports five cases of postoperative acute acalculous cholecystitis. Clinical symptoms are upper abdominal pain, fever, jaundice or an unexplained septic shock. Biology orients the diagnosis but only gallbladder ultrasonography and, to a lesser degree, hepatobiliary scintigraphy are really diagnostic. As mortality is high and increases with waiting, emergency cholecystectomy is the treatment of choice.
该研究报告了5例术后急性非结石性胆囊炎病例。临床症状为上腹部疼痛、发热、黄疸或不明原因的感染性休克。生物学检查有助于诊断，但真正具有诊断价值的只有胆囊超声检查，而肝胆闪烁显像的诊断价值相对较小。由于死亡率很高且随等待时间增加，急诊胆囊切除术是首选的治疗方法。
