Author/Editor		Milić-Lončar, K; Gašparović, S
Title		Acute cholecystitis as a complications in multiple trauma patients
Type		članek
Source		In: Rafaj T, Rus-Vaupot V, editors. Proceeding book of 8th anaesthesia symposium Alpe-Adria; 1995 May 26-28; Portorož. Ljubljana: Slovenian association of anaesthesia and intensive medicine,
Publication year		1995
Volume		str. 235-8
Language		eng
Abstract		This study analyses 5 of 132 multiple traumatized patients (3.8 percent) who acute cholecystitis developed. The various etiologic factors have been implicated such as shock, infection, intravenous alimentation, multiple blood transfusions, respiratory failure, prolonged PEEP ventilation and high doses of narcotic analgesics. The diagnosis was guided by right upper abdominal quadrant tenderness, temperature, white blood count and ultrasound examination. Once the diagnosis is confirmed, early operative intervention is indicated. All cases of inflammation were found in stone-free gallbladders, and there was no mortality as a result of cholecystitis. Acute cholecystitis as a complication in multiple trauma patients develop in incidence of 0.5 to 4.2 percent with mortality rate ranging up to 60 percent (1,2,13). Since clinical findings are often nonspecific, acute cholecystitis may cause diagnostic problems, and be unrecognized, because occuring after unrelated surgery or trauma (4). There are many predisposing factors for the development of acute cholecystitis such as infection (5), dehydration (6), vascular insufficiency, reflux of pancreatic juice, parenteral alimentations, prolonged fasting (7), shock (8,9), acute renal failure, respiratory failure (ARDS), prolonged PEEP ventilation (10), high doses of narcotic analgesics (11) and multiple blood transfusions (12). The purpose of this work is to determine the frequency, possible causes of appearence as well as diagnostic treatments and therapy of acute cholecystitis in multiple trauma patients in ICU in our hospital.
Descriptors		MULTIPLE TRAUMA CHOLECYSTITIS