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Oriental Medical Treatment of chronic Acalculous Cholecystitisįull Text Available Chronic acalculous cholecystitis gets possession of about 12 to 13 percent of patients with chronic cholecystitis.
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Earlier diagnosis could have expedited the management of these patients. Acute acalculous cholecystitis is a serious complication in neutropenic patients. None treatment measures were effective and two patients died. Surgical management was required in one patient and conservative treatment was attempted in the other patient. Ultrasound demonstrated an acalculous gallbladder. They suffered from fever, vomiting and acute pain in the epigastrium. We present two acute myeloblastic leukemia patients that developed acute acalculous cholecystitis during chemotherapy-induced neutropenia. Diagnosis of acute acalculous cholecystitis remains difficult during neutropenic period. This is the first report of a severe course of acute acalculous cholecystitis with suspected gallbladder perforation associated with infectious mononucleosis.Īcute acalculous cholecystitis complicating chemotherapy for acute myeloblastic leukemiaĭirectory of Open Access Journals (Sweden)įull Text Available Acute acalculous cholecystitis is a rare complication in the treatment of acute myeloblastic leukemia. Epstein-Barr virus infections are usually self-limited, and surgical treatment of acute acalculous cholecystitis should only be considered when the ultrasonographic criteria persist on follow-up examinations or when they deteriorate. The patient was treated conservatively with careful monitoring, including repeated ultrasonographic examinations. Surgical intervention was not performed, even though gallbladder perforation was suspected. We describe the case of a 22-year-old woman with acute acalculous cholecystitis and pericholecystitis associated with Epstein-Barr virus primary infection. (author)Īcute acalculous cholecystitis with pericholecystitis in a patient with Epstein-Barr Virus infectious mononucleosis.Ĭhalupa, Pavel Kaspar, Miroslav Holub, MichalĪcute acalculous cholecystitis is a rare complication of Epstein-Barr virus mononucleosis and involves thickening of the gallbladder wall. Morphine-assisted cholescintigraphy turned out to be useful in detecting acute and chronic cholecystitis. In the remaining 6 patients the morphine induction caused influx of radiotracer into the gallbladder, which allowed to diagnose the chronic acalculous cholecystitis.
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morphine did not result in filling a tracer into the gallbladder in 10 patients, which allowed to confirm that acute acalculous cholecystitis.
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The intravenous administration of 0.04 mg/kg b.w. None of the patients displayed the gallbladder within 60 min. in the above mentioned patients choscintigraphy was performed by the intravenous administration of 5 mCi 99mTc-HIDA. Sixteen patients with suspicion of acute or chronic acalculous cholecystitis were examined. The aim of the study was to assess the usefulness of morphine-assisted cholescintigraphy in the diagnosis of acute and chronic acalculous cholecystitis. International Nuclear Information System (INIS)ĭetecting acalculous cholecystitis still causes difficulties. Morphine-assisted cholescintigraphy in the diagnosis of acalculous cholecystitis
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