Colecistitis acalculosa en el paciente quemado

The acute acalculous cholecystitis is an uncom- mon complication in the burned patient. It is secondary to atony and ischemia of the gallblad- der. It may progress to a necroinflammatory process that frequently complicates with bile infection and systemic sepsis. Moreover, this atony affects bile co...

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Autor Principal: Granados Quesada, Ronny
Formato: Artículo
Idioma: Español
Publicado: 2015
Materias:
Acceso en línea: http://revistas.ucr.ac.cr/index.php/clinica/article/view/10437
http://hdl.handle.net/10669/14778
Sumario: The acute acalculous cholecystitis is an uncom- mon complication in the burned patient. It is secondary to atony and ischemia of the gallblad- der. It may progress to a necroinflammatory process that frequently complicates with bile infection and systemic sepsis. Moreover, this atony affects bile composition, causing the gallbladder mucosa to be more susceptible to damage. Clinically it is characterized by pain and palpable mass in the right upper quadrant of the abdomen, fever, leukocytosis and increase of bilirubin and alkaline phosphatase. Gallbladder ultrasonography is the best tool lead to diagnosis. Early treatment with antibiotics associated to surgical or endoscopic procedures is fundamental to reduce the morbimortality of this entity.