Fenakel G, Schattner A
Medical Dept. A, Kaplan Hospital, Rehovot.
Harefuah. 1994 Mar 1;126(5):250-1, 304, 303.
A previously healthy 32-year-old man presented with fever, upper abdominal pain and leukocytosis of 5 days duration. Ultrasonography and CT-scan of the abdomen were not diagnostic. On laparotomy acute gangrenous acalculous cholecystitis was found and was successfully treated by cholecystectomy. This condition is a well-known complication in critically ill patients. However, physicians should be aware of its possible occurrence even in previously healthy ambulatory patients, since a delayed diagnosis carries a significant risk of perforation and death.
一名32岁既往健康的男性出现发热、上腹部疼痛，白细胞增多，病程5天。腹部超声和CT扫描均未明确诊断。剖腹探查发现急性坏疽性无结石性胆囊炎，行胆囊切除术治疗成功。这种情况在重症患者中是一种众所周知的并发症。然而，医生应意识到即使在既往健康的门诊患者中也可能发生，因为延迟诊断会带来穿孔和死亡的重大风险。
