Pinto K M
Biloxi Medical Center, Miss., USA.
Nurse Pract. 1996 Oct;21(10):120-2. doi: 10.1097/00006205-199610000-00009.
It is estimated that cholelithiasis occurs in 20 million people in the United States, and 500,000 people will undergo cholecystectomy annually. Furthermore, 5% of those who undergo surgery will have acalculous cholecystitis, an uncommon disease that can result in gallbladder perforation or death. Diagnosis of acalculous cholecystitis is frequently delayed due to a confusing clinical presentation and nonspecific diagnostic findings. The following case report describes the presentation of a 19-year-old female with a 12-month history of right upper quadrant pain, and the serologic and radiographic tests that led to a diagnosis of acalculous cholecystitis. Primary care providers should consider this disease a possibility in any patient who presents with right upper quadrant pain.
据估计，美国有2000万人患有胆结石，每年有50万人将接受胆囊切除术。此外，接受手术的患者中有5%会发生无结石性胆囊炎，这是一种罕见的疾病，可导致胆囊穿孔或死亡。由于临床表现令人困惑且诊断结果不具特异性，无结石性胆囊炎的诊断常常延迟。以下病例报告描述了一名19岁女性的症状，其有12个月的右上腹疼痛病史，以及最终诊断为无结石性胆囊炎的血清学和影像学检查。初级保健提供者应考虑任何出现右上腹疼痛的患者都有可能患有这种疾病。
