Rădulescu D, Dragomirescu C, Budu S, Stefan V
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1978 Jul-Aug;27(4):261-7.
The authors present 7 cases of acute non-lithiasic cholecystitis, representing 1.5% of the total number of acute cholecystitis cases in their personal statistics. The determining factor of the acute inflammatory process of the gallbladder was represented in 6 of the cases by non-lithiasic obstruction of the cystic duct. In the last case there was acute segmental cholecystitis secondary to a gallbladder septum, probably of congenital origin. Clinical and anatomo-pathological aspects are discussed, of acute non-lithiasic cholecystites, the origin of which is located in the diverticular apparatus of the biliary pathways. From the therapeutical viewpoint cholecystectomy is the most indicated attitude in such cases.
作者报告了7例急性非结石性胆囊炎病例,占其个人统计的急性胆囊炎病例总数的1.5%。在6例病例中,胆囊急性炎症过程的决定因素是胆囊管的非结石性梗阻。在最后1例病例中,存在继发于胆囊隔(可能为先天性起源)的急性节段性胆囊炎。本文讨论了急性非结石性胆囊炎的临床和解剖病理学方面,其起源位于胆道的憩室结构。从治疗角度来看,胆囊切除术是此类病例最适宜的治疗方式。