empyema with giant dilatation of the gallbladder empiema com dilatação gigante da vesícula biliar

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ID: 147950
2008
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Abstract
INTRODUCTION: Gallbladder empyema is a serious complication of acute cholecystitis being peritonitis and sepsis it's main clinical consequences. Organ giant volume is rare specially with no relevant symptoms. CASE REPORT: Man 56-year-old with mild abdominal pain on the right hypochondrium, palpable gallbladder and ultrasound images revealing cholelithiasis. At surgery, there was a giant dilatation of the gallbladder with 580 mL of purulent bile. Cholecystectomy was carried out without post-operative complications. CONCLUSION: Early cholecystectomy should always be realized in patients presenting symptoms of gallbladder empyema no matter the size of it.
INTRODUÇÃO: Empiema de vesicular é complicação séria da colecistite aguda podendo levar à peritonite e sepse. O aspeto gigante do volume do órgão e seu conteúdo líquido é que fazem deste caso rara citação na literatura RELATO DE CASO: Homem com 56 anos apresentou-se em ambulatório médico eletivo com dor abdominal leve em hipocôndrio direito. O exame clínico mostrou vesícula biliar palpável e imagens ultrassonográficas confirmaram colecistolitíase. Indicada ressecção cirúrgica, o ato operatório mostrou gigante dilatação da vesícula com conteúdo de 580 mL de líquido purulento. Colecistectomia laparotômica foi realizada sem intercorrências per-operatórias. CONCLUSÃO: Colecistectomia precoce deve ser sempre o tratamento de escolha nos casos de colecistectomia com componente inflamatório ou infeccioso independentemente do tamanho no órgão.
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rodrigues2008abcd:empyema Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;André Luiz Santos Rodrigues;Marcelino Ferreira Lobato;Carla Andrea Ribeiro Braga;Lucas Crociati Meguins;Daniel Felgueiras Rolo
Journal managed care (langhorne, pa)
Year 2008
DOI
10.1590/S0102-67202008000200010
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202008000200010
Keywords
cholecystectomy Gastroenterology

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