Oct 1, 1975

Incarcerated gallbladder in cholecystitis

Vestnik khirurgii imeni I. I. Grekova
P K D'iachenko, I A Serdiuk


Among 206 examined patients with cholecystitis and similar diseases in 112 (65%) cases, as evidenced by the authors' findings, the gallbladder proved to be non-functioning. Its escape in the biliary system was functional (indirect) or organic (absolute). The main causes of a direct organic escape of the gallbladder are as follows: destructive changes in its walls, strictures, strangulated gall stones, shrinkage or hydropsy. The reliable preoperative diagnosis of an escaped gallbladder by means of accelerated chromoduodenal catheterization, intravenous (infusion-drip) or associated (intravenous-peroral) cholecystocholangiography, correlated with the anamnesis data and clinical signs, rather speaks in favour of cholecystectomy on absolute indications.

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Mentioned in this Paper

Surgical Endoscopy
Acute Disease
Differential Diagnosis
Gall Bladder Diseases
Hydrogen-Ion Concentration
Biliary Sludge

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