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ACUTE SUPPURATIVE CHOLESYSTITIS: A RETROSPECTIVE STUDY OF 173 CASES
Author(s) -
LAM K. H.,
WONG JOHN,
LIM S.T.K.,
ONG G. B.
Publication year - 1979
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1979.tb06431.x
Subject(s) - medicine , perforation , incidence (geometry) , acute cholecystitis , surgery , cholecystectomy , cholecystostomy , cholecystitis , biliary tract , shock (circulatory) , general surgery , gallbladder , radiology , physics , materials science , optics , punching , metallurgy
Over a 14‐year period we treated 2,290 cases of non‐malignant biliary tract conditions, and among them were 173 cases of acute suppurative cholecystitis, an incidence of 7.6%. A correct preoperative diagnosis of acute suppurative cholecystitis was made in only about half the cases because features of recurrent pyogenic cholangitis dominated the clinical picture on many occasions. The diagnosis was confirmed in all cases at operation. Cholecystectomy (88%) was performed whenever this was found to be safe, and cholecystostomy (12%) was carried out only in poor‐risk patients or when operative difficulties were encountered. The overall mortality of operation was 5.8%. Old age, preoperative shock, delay of operation and the presence of free perforation affected the prognosis adversely.