Colecistitis aguda alitiasica
| Autor: | Eva Nilsen V, Tomas Oksenberg R, Fernando Urra G |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
Anemia business.industry medicine.medical_treatment Gallbladder Acalculous cholecystitis medicine.disease Gastroenterology anemia Sepsis medicine.anatomical_structure células falciformes colecistitis Internal medicine Pediatrics Perinatology and Child Health medicine Cholecystitis enfermedades de la vesícula biliar Cholecystectomy talasemia business Lymph node Meningitis |
| Zdroj: | Revista chilena de pediatría v.67 n.3 1996 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | A four year old patient with known sick'e cell-lhalasseTiic anemia (a seldom seen d sease in Chile) and frequent severe infections (including meningitis, pneumonic, acute diarrhea crd acute oMis media) came 'o t"e emergency room a couple of weeks after a" acute resp.rarorv disease, because of fever,, acu'e abdo.Ti'nal pain, signs of peritoneal 'rritation and periphe'al e leva tec white blcoc cell counts. At abdominal ulrasonocrapy a bigger than normal, distended and dilated gallbladder was seen A cholecystectomy was done and the diagnosis of acalculous cholecystitis was sjrgically crd histologically comfirmed while bacteriae were not isc a ted from bile cultures. Cholecystitis was thoughto be probably secondary to cystic djct external compression oy an enlarged mese^teric lymph node. Appropriate managemen; of these patents incljdes intravenous fluids, blood transfjssions as needed, adecuate control of termo environment, body temperature and oxigenaticn and antimicrobial drugs to protect them against the ris^s of sepsis, hemolyt'C and throrrbcric cornp icatio.ns *o which 'hey ore frequently suo'ected. |
| Databáze: | OpenAIRE |
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