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Chirurgia 2000 April;13(2):117-20

language: Italian

Acute necrotizing cholecystitis: clinico-therapeutic observations

Versaci A., Barbera A., Eburnea S., Pagano G., Mastrojeni C., Rossitto M.


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The bile peritonitis caused by necrotic perforation of the gallbladder is a rare pathology with still high mortality. Bile stasis, infection and ischemia of the gallbladder wall are the causes of necrosis and perforation. The age, the presence of another disease and late diagnosis of this particular form of acute abdomen lead to a dismal prognosis. Ultrasonography, CT scan and radionuclide cholecystography are the imaging techniques which make an early possible diagnosis. On the basis of personal experience, ultrasonography is considered for its characteristics, to be the diagnostic gold standard in case of gallbladder perforation, allowing an early surgical treatment which will reduce mortality rates, still so high at present.

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