Open AccessBacteriological examination of gallbladder contents
Author(s) -
Goran Petakovic,
Milan Korica,
Sava Gavrilovic
Publication year - 2002
Publication title -
medicinski pregled
Language(s) - English
Resource type - Journals
eISSN - 1820-7383
pISSN - 0025-8105
DOI - 10.2298/mpns0206225p
Subject(s) - medicine , citrobacter , cholecystitis , gallstones , klebsiella , enterobacter , microbiology and biotechnology , gastroenterology , enterobacter cloacae , gallbladder , abscess , surgery , enterobacteriaceae , escherichia coli , biochemistry , chemistry , biology , gene
Acute calculous (obstructive) cholecystitis develops as a consequence of cystic obstruction and obstruction of bile flow into choledochus. Most often it is a result of impacted gallstones in Hartman's pouch or the cystic duct. Their direct pressure on gallbladder mucosa causes ischemia, necrosis and ulceration with consequential wall edema and obstructed venous flow. This mechanism is further increasing and spreading the inflammatory process. Ulcerations may be that extensive, that mucosa is highly recognizable on the microscopic preparation. Leukocyte infiltration of all segments occurs. Results of necrosis are as follows: perforation with pericholecystic abscess formation, fistulization or biliary peritonitis.