| Autor: |
Forbes LE; Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA., Bajaj M, McGinn T, Berlin A |
| Jazyk: |
angličtina |
| Zdroj: |
The American journal of gastroenterology [Am J Gastroenterol] 1996 Apr; Vol. 91 (4), pp. 786-8. |
| Abstrakt: |
Perforation of the gallbladder is a serious complication of acute cholecystitis, with significant morbidity and mortality rates. We present the case of a diabetic adult in whom the usual signs and symptoms of acute cholecystitis were obscured. A high index of suspicion at the time of admission prompted emergent evaluation. Computerized axial tomography revealed a large perihepatic abscess extending from a perforated gallbladder. Fourteen hundred milliliters of malodorous brown fluid were drained by ultrasound-guided percutaneous aspiration from the collection. Early clinical suspicion combined with conservative surgical management may prevent serious morbidity and/or mortality in diabetic patients with complicated cholecystitis. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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