Colecistitis Aguda Alitiásica

Acute acalculous cholecystitis (AAC) or also called acalculous, is a rare but emerging entity and often secondary to other clinical con-ditions, manifests the presence of gallbladder inflammation in the absence of stones inside. Acalculous cholecystitis accounts for the remaining 5-10% of cholecysti...

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Bibliographic Details
Main Authors: Calle Jara, Emanuel Francisco, Idrovo Campoverde, Paula Jessenia, Peralta Sánchez, Andrea Gabriela, Bermeo León, Karla Johanna, Quilli Guamán, Jonnathan Javier
Format: Article
Language:Spanish
Published: 2022
Subjects:
Colecistitis
Aguda
Alitiásica
Diagnóstico
Tratamiento
Cholecystitis
Acute
Acalculous
Diagnosis
Treatment
Online Access:https://dialnet.unirioja.es/servlet/oaiart?codigo=8448476
Source:RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 6, Nº. 2, 2022, pags. 520-526
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Colecistitis Aguda Alitiásica
Summary: Acute acalculous cholecystitis (AAC) or also called acalculous, is a rare but emerging entity and often secondary to other clinical con-ditions, manifests the presence of gallbladder inflammation in the absence of stones inside. Acalculous cholecystitis accounts for the remaining 5-10% of cholecystitis and is typically seen in very ill patients or in the setting of severe injury with predisposing factors (diabetes mellitus, vasculitis, heart failure, shock, sepsis, etc.) Diagnosis it is imperative, given its propensity for progression to gangrene (greater than 50%) and perforation (10%), and should be considered in all critically ill patients with sepsis and/or jaundice. Consequently, the pres-ent investigation has the purpose of summarizing the diagnosis and treatment of Acute Acalculous Cholecystitis. Laboratory studies are not conclusive in all patients (in some cases), however, the most recommended are: blood count with leukocytosis, elevated C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), increased bilirubins, transaminases, alkaline phosphatase, amylase. For diag-nosis by means of images, due to the cost-effectiveness relationship, the echosonogram or ultrasound is the most used. Early treatment decision is closely related to prognosis. Treatment of CAA must always include antibiotic therapy and supportive treatment with fluids, analgesics and an initial absolute diet. Cholecystectomy has historically been the treatment of choice, however, currently percutaneous cholecystostomy has become an effective and minimally invasive alternative, especially in patients with high surgical risk.

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